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1497807416
KATIE MARIE ANDERSON
IDAHO FALLS, ID
NPI
1497807416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPC3597)
Enumeration Date
2007-01-18
Last Update Date
2007-07-09
Business Address
Mrs. KATIE MARIE ANDERSON LPC M. COUN
1740 E 17TH ST STEB
IDAHO FALLS, ID 83404
Phone number: 208-351-5539
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Mailing Address
Mrs. KATIE MARIE ANDERSON LPC M. COUN
3724 E 10 N
RIGBY, ID 83442
Phone number: 208-351-5539
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