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1881118131
CARMEN STITES
IDAHO FALLS, ID
NPI
1881118131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-6628)
Enumeration Date
2017-07-28
Last Update Date
2023-11-30
Business Address
CARMEN STITES
2267 TETON PLZ
IDAHO FALLS, ID 83404-6486
Phone number: 208-522-0140
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Mailing Address
CARMEN STITES
1675 CURLEW DR
AMMON, ID 83406-4850
Phone number:
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