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1316144819
CALLEEN ANN CANNON
CHUBBUCK, ID
NPI
1316144819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LCPC-4273)
Enumeration Date
2007-06-28
Last Update Date
2024-08-08
Business Address
CALLEEN ANN CANNON LCPC
265 E CHUBBUCK ROAD
CHUBBUCK, ID 83202-5055
Phone number: 208-237-1711
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Mailing Address
CALLEEN ANN CANNON LCPC
265 E CHUBBUCK ROAD
CHUBBUCK, ID 83202-5055
Phone number: 208-237-1711
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