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1790262871
CODY LEE CARLSON
IDAHO FALLS, ID
NPI
1790262871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2018-07-23
Last Update Date
2018-07-23
Business Address
Mr. CODY LEE CARLSON LPC
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
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Mailing Address
Mr. CODY LEE CARLSON LPC
4730 DAVIS CIR
IONA, ID 83427-5501
Phone number: 208-709-6360
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