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1811085442
KAREN J MICHAELSON
CHUBBUCK, ID
NPI
1811085442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC3167)
Enumeration Date
2006-10-10
Last Update Date
2007-07-09
Business Address
-- KAREN J MICHAELSON LCPC
4460 KINGS WAY STE 2
CHUBBUCK, ID 83202-1900
Phone number: 208-237-1711
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Mailing Address
-- KAREN J MICHAELSON LCPC
4460 KINGS WAY STE 2
CHUBBUCK, ID 83202-1900
Phone number: 208-237-1711
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