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1700165628
CONNIE KREIZENBECK
POCATELLO, ID
NPI
1700165628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPC-4783)
Enumeration Date
2011-08-09
Last Update Date
2011-08-09
Business Address
-- CONNIE KREIZENBECK M.Coun, LPC
409 WASHINGTON AVE.
POCATELLO, ID 83201
Phone number: 208-234-2646
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Mailing Address
-- CONNIE KREIZENBECK M.Coun, LPC
1045 HOLMAN AVE
POCATELLO, ID 83201-2965
Phone number: 208-284-7342
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