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1356004220
BRIAN POPE
LEWISTON, ID
NPI
1356004220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCSW-24514)
Enumeration Date
2021-10-18
Last Update Date
2021-10-18
Business Address
BRIAN POPE LCSW
602 13TH ST
LEWISTON, ID 83501-2586
Phone number: 208-746-3388
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Mailing Address
BRIAN POPE LCSW
602 13TH ST
LEWISTON, ID 83501-2586
Phone number: 208-746-3388
Copy
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