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1386197739
SHANE GRIGGS
POCATELLO, ID
NPI
1386197739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-6279)
Enumeration Date
2016-08-02
Last Update Date
2016-08-02
Business Address
-- SHANE GRIGGS LPC
1352 E CENTER ST STE A
POCATELLO, ID 83201-4773
Phone number: 208-233-2025
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Mailing Address
-- SHANE GRIGGS LPC
28 WILLOWOOD AVE
POCATELLO, ID 83204-4004
Phone number: 208-241-8207
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