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1699032839
CRYSTAL PAUL
LEWISTON, ID
NPI
1699032839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LCPC-5674)
Enumeration Date
2012-04-12
Last Update Date
2014-11-10
Business Address
-- CRYSTAL PAUL LCPC
531 BRYDEN AVE
LEWISTON, ID 83501-0308
Phone number: 208-798-1646
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Mailing Address
-- CRYSTAL PAUL LCPC
531 BRYDEN AVE
LEWISTON, ID 83501-0308
Phone number: 208-798-1646
Copy
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