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1780322081
KATHLEEN GRACE HALL
BONNERS FERRY, ID
NPI
1780322081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-8003)
Enumeration Date
2022-05-25
Last Update Date
2022-05-25
Business Address
KATHLEEN GRACE HALL
6850 ALICE ST
BONNERS FERRY, ID 83805-8733
Phone number: 406-781-3582
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Mailing Address
KATHLEEN GRACE HALL
6850 ALICE ST
BONNERS FERRY, ID 83805-8733
Phone number: 406-781-3582
Copy
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