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1679821987
SALLY ANN WHITAKER
TWIN FALLS, ID
NPI
1679821987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-5090)
Enumeration Date
2012-08-16
Last Update Date
2015-01-16
Business Address
Ms. SALLY ANN WHITAKER LPC
493 EASTLAND DR.
TWIN FALLS, ID 83303
Phone number: 208-732-0995
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Mailing Address
Ms. SALLY ANN WHITAKER LPC
PO BOX 47
TWIN FALLS, ID 83308
Phone number: 208-732-0995
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