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1841855798
SHELLY MARIE OSBORNE
TWIN FALLS, ID
NPI
1841855798
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Former Name
SHELLY MARIE LEWIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-5757)
Enumeration Date
2019-05-07
Last Update Date
2019-05-07
Business Address
SHELLY MARIE OSBORNE LCPC
112 SHOSHONE ST E STE 2
TWIN FALLS, ID 83301-6185
Phone number: 208-860-8203
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Mailing Address
SHELLY MARIE OSBORNE LCPC
647 POLE LINE RD
TWIN FALLS, ID 83301-4083
Phone number: 208-860-8203
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