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1295578870
ALYSSA CRUZ
POCATELLO, ID
NPI
1295578870
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-10621)
Enumeration Date
2024-06-13
Last Update Date
2024-06-13
Business Address
ALYSSA CRUZ LPC
444 HOSPITAL WAY STE 422
POCATELLO, ID 83201-2744
Phone number: 208-557-9450
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Mailing Address
ALYSSA CRUZ LPC
444 HOSPITAL WAY STE 422
POCATELLO, ID 83201-2744
Phone number: 208-557-9450
Copy
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