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1710295845
LUCY BRAZIL-WILKES
TWIN FALLS, ID
NPI
1710295845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LPC4567)
Enumeration Date
2010-09-23
Last Update Date
2010-09-23
Business Address
LUCY BRAZIL-WILKES LPC
834 FALLS AVE STE 1050
TWIN FALLS, ID 83301-3363
Phone number: 208-736-0995
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Mailing Address
LUCY BRAZIL-WILKES LPC
834 FALLS AVE STE 1050
TWIN FALLS, ID 83301-3363
Phone number:
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