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1548692155
MELISSA JO LARSON
BURLEY, ID
NPI
1548692155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-5365)
Enumeration Date
2013-08-06
Last Update Date
2013-08-06
Business Address
Mrs. MELISSA JO LARSON LPC
2311 PARK AVE STE 3
BURLEY, ID 83318-2104
Phone number: 208-678-3555
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Mailing Address
Mrs. MELISSA JO LARSON LPC
258 S 150 E
BURLEY, ID 83318-5711
Phone number: 208-431-2995
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