CAROL PANGBURN

EAGLE, ID
NPI1205978095
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC 168)
Enumeration Date2007-02-12
Last Update Date2008-01-13
Business Address
-- CAROL PANGBURN
3042 S WHITEPOST WAY
EAGLE, ID 83616-6461
Phone number: 208-939-7514
Mailing Address
-- CAROL PANGBURN
3042 S WHITEPOST WAY
EAGLE, ID 83616-6461
Phone number: 208-939-7514
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