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1356702336
DEA HIBDON
LEWISTON, ID
NPI
1356702336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-5197)
Enumeration Date
2016-03-17
Last Update Date
2016-03-17
Business Address
-- DEA HIBDON LCPC
PO BOX B
LEWISTON, ID 83501-0182
Phone number: 208-799-4440
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Mailing Address
-- DEA HIBDON LCPC
PO BOX B
LEWISTON, ID 83501-0182
Phone number: 208-799-4440
Copy
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