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1164780706
KIMBERLY JO ANDREW
POCATELLO, ID
NPI
1164780706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LCPC-4159)
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
Mrs. KIMBERLY JO ANDREW LCPC
421 E OAK ST
POCATELLO, ID 83201-4601
Phone number: 208-241-7496
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Mailing Address
Mrs. KIMBERLY JO ANDREW LCPC
531 FAIRMONT AVE
POCATELLO, ID 83201-3873
Phone number: 208-241-7496
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