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1639870462
AMY RAE WANSTROM
POCATELLO, ID
NPI
1639870462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-9391)
Enumeration Date
2023-03-17
Last Update Date
2023-03-17
Business Address
Mrs. AMY RAE WANSTROM LPC
1800 GARRETT WAY STE 47
POCATELLO, ID 83201-5132
Phone number: 208-252-6464
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Mailing Address
Mrs. AMY RAE WANSTROM LPC
358 N 200 W
BLACKFOOT, ID 83221-5703
Phone number: 208-604-0753
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