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1689713224
JENNIFER BETH SHELL BOEHM
AMMON, ID
NPI
1689713224
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Former Name
JENNIFER BETH SHELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC3632)
Enumeration Date
2007-02-06
Last Update Date
2009-02-02
Business Address
Mrs. JENNIFER BETH SHELL BOEHM LPC
3544 E 17TH ST
AMMON, ID 83406-6913
Phone number: 208-681-4766
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Mailing Address
Mrs. JENNIFER BETH SHELL BOEHM LPC
3334 SPARROW HAWK DR
IDAHO FALLS, ID 83401-4984
Phone number: 208-681-4766
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