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1659797090
KRISTY ANN PENDLETON
IDAHO FALLS, ID
NPI
1659797090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCSW-34365)
Enumeration Date
2014-03-10
Last Update Date
2020-12-03
Business Address
KRISTY ANN PENDLETON LCSW
1301 E 17TH ST
IDAHO FALLS, ID 83404-6273
Phone number: 208-538-3122
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Mailing Address
KRISTY ANN PENDLETON LCSW
3656 E VISION DR
IDAHO FALLS, ID 83401-5045
Phone number: 208-313-7449
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