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1184856221
MICHELE OSMOND
IDAHO FALLS, ID
NPI
1184856221
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Entity Type
Organization
Authorized Contact
MARDEE HARPER
Executive Director
208-529-4673
Organization Subpart ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LCPC-3303)
Enumeration Date
2009-08-21
Last Update Date
2009-08-21
Business Address
MICHELE OSMOND
2001 S WOODRUFF AVE STE 6
IDAHO FALLS, ID 83404-6371
Phone number: 208-529-4673
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Mailing Address
MICHELE OSMOND
2001 S WOODRUFF AVE STE 6
IDAHO FALLS, ID 83404-6371
Phone number: 208-529-4673
Copy
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