SHAWN S. GRAVELLE

POCATELLO, ID
NPI1295855963
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LPC3523)
Enumeration Date2007-03-29
Last Update Date2008-06-27
Business Address
-- SHAWN S. GRAVELLE LPC
210 E CENTER ST SUITE B
POCATELLO, ID 83201-6326
Phone number: 208-234-2600
Mailing Address
-- SHAWN S. GRAVELLE LPC
771 PINEWOOD ST
CHUBBUCK, ID 83202-2651
Phone number: 208-380-0545
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