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1750152203
AMANDA MOORE
IDAHO FALLS, ID
NPI
1750152203
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Other Name
AMANDA MOORE SASSER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID 10116)
Enumeration Date
2024-01-12
Last Update Date
2024-01-12
Business Address
AMANDA MOORE LPC
855 N CAPITAL AVE STE 1
IDAHO FALLS, ID 83402-3405
Phone number: 208-552-0855
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Mailing Address
AMANDA MOORE LPC
2195 LOGAN DR
IDAHO FALLS, ID 83401-4404
Phone number: 208-357-8909
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