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1801307418
BRIANNE LYNN LARSON
BLACKFOOT, ID
NPI
1801307418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-10-23
Last Update Date
2019-06-11
Business Address
Mrs. BRIANNE LYNN LARSON LMSW
199 W BRIDGE ST
BLACKFOOT, ID 83221-2704
Phone number: 208-351-4058
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Mailing Address
Mrs. BRIANNE LYNN LARSON LMSW
693 E 700 N
FIRTH, ID 83236-1117
Phone number: 208-351-4058
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