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1538596226
SHANTAL LEE LAULU
POCATELLO, ID
NPI
1538596226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-5335)
Enumeration Date
2013-09-26
Last Update Date
2013-09-26
Business Address
Mrs. SHANTAL LEE LAULU LCPC, CADC
110 S 19TH AVE
POCATELLO, ID 83201-3312
Phone number: 208-234-4722
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Mailing Address
Mrs. SHANTAL LEE LAULU LCPC, CADC
110 S 19TH AVE
POCATELLO, ID 83201-3312
Phone number: 208-234-4722
Copy
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