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1760937148
KAYLA PEDIGO
BLACKFOOT, ID
NPI
1760937148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC 5608)
Enumeration Date
2016-08-16
Last Update Date
2016-08-16
Business Address
-- KAYLA PEDIGO LPC
1309 CAMAS ST
BLACKFOOT, ID 83221-3060
Phone number: 208-782-0675
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Mailing Address
-- KAYLA PEDIGO LPC
1309 CAMAS ST
BLACKFOOT, ID 83221-3060
Phone number: 208-782-0675
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