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1376111211
SHELBY HASENOEHRL
LEWISTON, ID
NPI
1376111211
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Former Name
SHELBY DURHAM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC8280)
Enumeration Date
2021-06-16
Last Update Date
2023-01-09
Business Address
SHELBY HASENOEHRL LPC
822 BRYDEN AVE
LEWISTON, ID 83501-4928
Phone number: 208-984-9794
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Mailing Address
SHELBY HASENOEHRL LPC
822 BRYDEN AVE
LEWISTON, ID 83501-4928
Phone number: 208-984-9794
Copy
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