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1427409051
KAVIN BRANHAM
REXBURG, ID
NPI
1427409051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LCPC-7894)
Enumeration Date
2016-06-24
Last Update Date
2024-09-26
Business Address
KAVIN BRANHAM LCPC
72 S 1ST E STE 103
REXBURG, ID 83440-1965
Phone number: 208-356-4900
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Mailing Address
KAVIN BRANHAM LCPC
PO BOX 18
SAINT ANTHONY, ID 83445-0018
Phone number: 208-356-4900
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