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1780158634
ERIN KATHLEEN SULLIVAN BAKER
CHUBBUCK, ID
NPI
1780158634
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Former Name
ERIN KATHLEEN SULLIVAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LPC-994)
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
DR. ERIN KATHLEEN SULLIVAN BAKER RN M COUN,LPC MS PHD
210 W BURNSIDE AVE STE A
CHUBBUCK, ID 83202-4916
Phone number: 208-233-2051
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Mailing Address
DR. ERIN KATHLEEN SULLIVAN BAKER RN M COUN,LPC MS PHD
210 W BURNSIDE AVE STE A
CHUBBUCK, ID 83202-4916
Phone number: 208-233-2051
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