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1740880053
MISTY DANIELLE OLSEN
POCATELLO, ID
NPI
1740880053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-7813)
Enumeration Date
2020-10-27
Last Update Date
2024-01-31
Business Address
MISTY DANIELLE OLSEN LPC
200 S MAIN ST STE P3
POCATELLO, ID 83204-3261
Phone number: 208-251-6789
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Mailing Address
MISTY DANIELLE OLSEN LPC
200 S MAIN ST STE P3
POCATELLO, ID 83204-3261
Phone number: 208-251-6789
Copy
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