TERESA ELLEN LAVONNE HODGES

COEUR D ALENE, ID
NPI1164136610
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: ID  SE-203699)
Additional Taxonomies101YP2500X Counselor, Professional
Enumeration Date2023-01-10
Last Update Date2023-01-10
Business Address
TERESA ELLEN LAVONNE HODGES
1809 E SHERMAN AVE
COEUR D ALENE, ID 83814-5873
Phone number: 208-620-5222
Mailing Address
TERESA ELLEN LAVONNE HODGES
1809 E SHERMAN AVE
COEUR D ALENE, ID 83814-5873
Phone number: 208-620-5222
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