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1699164236
GLENN VAUGHN
COEUR D ALENE, ID
NPI
1699164236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LCPC-5394)
Enumeration Date
2015-01-20
Last Update Date
2015-01-20
Business Address
-- GLENN VAUGHN LCPC
416 E FOSTER AVE 2488 MERRITT CREEK LOOP SUITE NUMBER 2C
COEUR D ALENE, ID 83814-3045
Phone number: 208-659-3931
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Mailing Address
-- GLENN VAUGHN LCPC
416 E FOSTER AVE
COEUR D ALENE, ID 83814-3045
Phone number: 208-659-3931
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