LISA ANNE PERUCCA

IDAHO FALLS, ID
NPI1275109167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  40790)
Enumeration Date2021-06-01
Last Update Date2021-06-01
Business Address
LISA ANNE PERUCCA LMSW
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
Mailing Address
LISA ANNE PERUCCA LMSW
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
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