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1518110972
JESSICA C. CARLSON
IDAHO FALLS, ID
NPI
1518110972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-3413)
Enumeration Date
2008-10-29
Last Update Date
2008-10-29
Business Address
-- JESSICA C. CARLSON L.P.C.
1975 MARTHA AVE
IDAHO FALLS, ID 83404-7580
Phone number: 208-529-4300
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Mailing Address
-- JESSICA C. CARLSON L.P.C.
1975 MARTHA AVE
IDAHO FALLS, ID 83404-7580
Phone number: 208-529-4300
Copy
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