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1275117046
GENELYN REAS MAIDWELL
NAMPA, ID
NPI
1275117046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID 8141)
Enumeration Date
2021-05-07
Last Update Date
2023-06-15
Business Address
GENELYN REAS MAIDWELL LPC, NCC
623 S UNIVERSITY BLVD
NAMPA, ID 83686-5800
Phone number: 208-717-5979
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Mailing Address
GENELYN REAS MAIDWELL LPC, NCC
623 S UNIVERSITY BLVD
NAMPA, ID 83686-5800
Phone number: 208-717-5979
Copy
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