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1215661509
KATHRYN DAVIS
IDAHO FALLS, ID
NPI
1215661509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-8928)
Enumeration Date
2022-07-12
Last Update Date
2022-07-12
Business Address
KATHRYN DAVIS
2267 TETON PLZ
IDAHO FALLS, ID 83404-6486
Phone number: 208-522-0140
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Mailing Address
KATHRYN DAVIS
5408 BARTON LN
AMMON, ID 83406-5044
Phone number: 208-569-1883
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