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1477947893
JERRY DEAN SICHELSTIEL
COEUR D ALENE, ID
NPI
1477947893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-5786)
Enumeration Date
2015-03-24
Last Update Date
2015-03-24
Business Address
-- JERRY DEAN SICHELSTIEL LPC
1200 W IRONWOOD DR
COEUR D ALENE, ID 83814-2660
Phone number: 208-664-9729
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Mailing Address
-- JERRY DEAN SICHELSTIEL LPC
1200 W IRONWOOD DR
COEUR D ALENE, ID 83814-2660
Phone number: 208-664-9729
Copy
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