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1750687992
KRYSTALROSE WORTHINGTON
AMMON, ID
NPI
1750687992
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Former Name
KRYSTAL TURNER-SCHOW
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-7195)
Enumeration Date
2011-02-06
Last Update Date
2019-02-14
Business Address
KRYSTALROSE WORTHINGTON LCPC
2705 E 17TH ST
AMMON, ID 83406
Phone number: 208-346-7500
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Mailing Address
KRYSTALROSE WORTHINGTON LCPC
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-821-8688
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