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1700667441
NICTE-HA BANKS
CHUBBUCK, ID
NPI
1700667441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW-43874)
Enumeration Date
2023-10-09
Last Update Date
2023-10-09
Business Address
NICTE-HA BANKS
210 W BURNSIDE AVE
CHUBBUCK, ID 83202-4916
Phone number: 435-705-3032
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Mailing Address
NICTE-HA BANKS
210 W BURNSIDE AVE STE A
CHUBBUCK, ID 83202-4916
Phone number:
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