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1720099203
SALLY JO LEYSE
JEROME, ID
NPI
1720099203
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Professional Name
SALLY JO LEYSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LCPC-215)
Enumeration Date
2006-08-10
Last Update Date
2014-10-29
Business Address
MS. SALLY JO LEYSE LCPC
601A PIONEER MOUNTAIN LOOP
JEROME, ID 83338-6557
Phone number: 208-420-5902
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Mailing Address
MS. SALLY JO LEYSE LCPC
601A PIONEER MOUNTAIN LOOP
JEROME, ID 83338-6557
Phone number: 208-420-5902
Copy
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