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1558997262
MIKEA BARRIE
RUPERT, ID
NPI
1558997262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW-39345)
Enumeration Date
2020-03-14
Last Update Date
2020-03-14
Business Address
MIKEA BARRIE LMSW
707 F ST
RUPERT, ID 83350-1638
Phone number: 208-650-3977
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Mailing Address
MIKEA BARRIE LMSW
2051 15TH DR
HEYBURN, ID 83336-9646
Phone number: 208-431-6256
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