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1750438388
HEATHER L GLAZA
EAGLE, ID
NPI
1750438388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-3962)
Enumeration Date
2007-01-04
Last Update Date
2023-06-22
Business Address
HEATHER L GLAZA LCPC
408 S EAGLE RD STE 205
EAGLE, ID 83616-6079
Phone number: 208-286-1000
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Mailing Address
HEATHER L GLAZA LCPC
408 S EAGLE RD STE 205
EAGLE, ID 83616-6079
Phone number: 208-286-1000
Copy
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