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1629308671
JOE A ANDERSEN
IDAHO FALLS, ID
NPI
1629308671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC4350)
Enumeration Date
2010-01-13
Last Update Date
2010-01-13
Business Address
-- JOE A ANDERSEN LPC
2088 E 25TH ST
IDAHO FALLS, ID 83404-6490
Phone number: 208-528-7655
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Mailing Address
-- JOE A ANDERSEN LPC
2088 E 25TH ST
IDAHO FALLS, ID 83404-6490
Phone number: 208-528-7655
Copy
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