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1457582173
ANNE TIERNEY
POCATELLO, ID
NPI
1457582173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPC-4365)
Enumeration Date
2009-07-29
Last Update Date
2009-07-29
Business Address
-- ANNE TIERNEY LPC
409 WASHINGTON AVE
POCATELLO, ID 83201-4520
Phone number: 208-234-2646
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Mailing Address
-- ANNE TIERNEY LPC
409 WASHINGTON AVE
POCATELLO, ID 83201-4520
Phone number: 208-234-2646
Copy
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