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1396422408
KRISTI SOUTHWICK
IDAHO FALLS, ID
NPI
1396422408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID 9542)
Enumeration Date
2023-06-29
Last Update Date
2023-06-29
Business Address
KRISTI SOUTHWICK LPC
550 W SUNNYSIDE RD STE 1
IDAHO FALLS, ID 83402-4642
Phone number: 208-529-5777
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Mailing Address
KRISTI SOUTHWICK LPC
1508 N MARCHESA LN
IDAHO FALLS, ID 83402-1220
Phone number: 208-243-1249
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