KIMBERLY LIND WACASTER

CHUBBUCK, ID
NPI1619288537
Former NameKIMBERLY LIND ANDERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCSW-27911)
Enumeration Date2010-06-25
Last Update Date2010-06-25
Business Address
-- KIMBERLY LIND WACASTER LCSW
4650 HAWTHORNE RD SUITE 3B
CHUBBUCK, ID 83202-2376
Phone number: 208-237-9833
Mailing Address
-- KIMBERLY LIND WACASTER LCSW
4650 HAWTHORNE RD SUITE 3B
CHUBBUCK, ID 83202-2376
Phone number: 208-237-9833
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