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1801270145
SAMANTHA HODGE-TRACY
IDAHO FALLS, ID
NPI
1801270145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPC-9934)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2015-07-16
Last Update Date
2024-08-12
Business Address
SAMANTHA HODGE-TRACY LPC
785 TERRACE DR
IDAHO FALLS, ID 83402-3113
Phone number: 208-227-3571
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Mailing Address
SAMANTHA HODGE-TRACY LPC
785 TERRACE DR
IDAHO FALLS, ID 83402-3113
Phone number: 208-227-3571
Copy
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