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1306210398
AMANDA BLAND
POCATELLO, ID
NPI
1306210398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-5931)
Enumeration Date
2015-11-14
Last Update Date
2015-11-14
Business Address
-- AMANDA BLAND LPC
1133 ROWLAND RD
POCATELLO, ID 83204-7416
Phone number: 208-319-6406
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Mailing Address
-- AMANDA BLAND LPC
1133 ROWLAND RD
POCATELLO, ID 83204-7416
Phone number: 208-319-6406
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