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1255729745
CAROL JEAN BIRDZELL
EAGLE, ID
NPI
1255729745
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Former Name
CAROL JEAN JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-9987)
Enumeration Date
2015-01-06
Last Update Date
2024-03-25
Business Address
CAROL JEAN BIRDZELL LPC
1065 E WINDING CREEK DR STE 250
EAGLE, ID 83616-7246
Phone number: 208-244-8105
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Mailing Address
CAROL JEAN BIRDZELL LPC
1065 E WINDING CREEK DR STE 250
EAGLE, ID 83616-7246
Phone number:
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