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1396277000
KIMBERLY ANN STOCKWELL
CALDWELL, ID
NPI
1396277000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-6699)
Enumeration Date
2017-03-31
Last Update Date
2017-10-09
Business Address
KIMBERLY ANN STOCKWELL
524 S 9TH AVE STE 103
CALDWELL, ID 83605-5072
Phone number: 208-454-2144
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Mailing Address
KIMBERLY ANN STOCKWELL
524 S 9TH AVE STE 103
CALDWELL, ID 83605-5072
Phone number: 208-454-2144
Copy
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