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1710244371
LAURA LEE SHEPHERD KLOSTERMAN
IDAHO FALLS, ID
NPI
1710244371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LCPC-3937)
Enumeration Date
2012-04-19
Last Update Date
2012-04-19
Business Address
-- LAURA LEE SHEPHERD KLOSTERMAN LCPC
548 LOMAX ST
IDAHO FALLS, ID 83401-2634
Phone number: 208-524-3733
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Mailing Address
-- LAURA LEE SHEPHERD KLOSTERMAN LCPC
548 LOMAX ST
IDAHO FALLS, ID 83401-2634
Phone number: 208-524-3733
Copy
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