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1710291117
LLOYD CODY LUKE
IDAHO FALLS, ID
NPI
1710291117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-8019)
Enumeration Date
2010-07-28
Last Update Date
2024-01-08
Business Address
Mr. LLOYD CODY LUKE B.S.
1904 JENNIE LEE DR
IDAHO FALLS, ID 83404-6159
Phone number: 208-974-5200
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Mailing Address
Mr. LLOYD CODY LUKE B.S.
1904 JENNIE LEE DR
IDAHO FALLS, ID 83404-6159
Phone number: 208-974-5200
Copy
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