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1225735665
ILA HANSEN
BLACKFOOT, ID
NPI
1225735665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-9328)
Enumeration Date
2023-02-15
Last Update Date
2023-02-15
Business Address
ILA HANSEN LPC
60 N BROADWAY ST
BLACKFOOT, ID 83221-2706
Phone number: 208-782-3434
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Mailing Address
ILA HANSEN LPC
60 N BROADWAY ST
BLACKFOOT, ID 83221-2706
Phone number: 208-782-3434
Copy
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