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1740020569
LUZ-EUGENIA FUENZALIDA
MERIDIAN, ID
NPI
1740020569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ID LPC-9815)
Enumeration Date
2024-05-29
Last Update Date
2024-05-29
Business Address
LUZ-EUGENIA FUENZALIDA LPC, BC-TMH
3071 E FRANKLIN RD # 201
MERIDIAN, ID 83642-2376
Phone number: 208-807-2877
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Mailing Address
LUZ-EUGENIA FUENZALIDA LPC, BC-TMH
692 E WHITNEY CT
EAGLE, ID 83616-3886
Phone number: 405-659-0852
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