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1477790053
KEVIN P. LEE
IDAHO FALLS, ID
NPI
1477790053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW-25561)
Enumeration Date
2009-01-19
Last Update Date
2009-01-19
Business Address
-- KEVIN P. LEE L.M.S.W.
540 3RD ST
IDAHO FALLS, ID 83401-3953
Phone number: 208-529-3702
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Mailing Address
-- KEVIN P. LEE L.M.S.W.
540 3RD ST
IDAHO FALLS, ID 83401-3953
Phone number: 208-529-3702
Copy
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