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1548571201
JEFFERY WILLIAM ALLEN
CHUBBUCK, ID
NPI
1548571201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2010-06-28
Last Update Date
2011-08-25
Business Address
-- JEFFERY WILLIAM ALLEN
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202-2376
Phone number: 208-237-9833
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Mailing Address
-- JEFFERY WILLIAM ALLEN
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202-2376
Phone number: 208-237-9833
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