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1861588774
JESSICA L WALDRON
IDAHO FALLS, ID
NPI
1861588774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LCPC- 3725)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
-- JESSICA L WALDRON LCPC
2420 E 25TH ST STE A
IDAHO FALLS, ID 83404-7549
Phone number: 208-542-1026
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Mailing Address
-- JESSICA L WALDRON LCPC
2420 E 25TH ST STE A
IDAHO FALLS, ID 83404-7549
Phone number: 208-542-1026
Copy
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