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1700174026
AMY HOLLOWAY
CHUBBUCK, ID
NPI
1700174026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID SE-202592)
Enumeration Date
2011-07-20
Last Update Date
2011-07-20
Business Address
Ms. AMY HOLLOWAY Ed.S.
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202-2376
Phone number: 208-223-7983
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Mailing Address
Ms. AMY HOLLOWAY Ed.S.
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202-2376
Phone number: 208-223-7983
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