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1891146056
SHANA L STUBBLEFIELD
IDAHO FALLS, ID
NPI
1891146056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID 35214)
Enumeration Date
2016-06-28
Last Update Date
2016-06-28
Business Address
SHANA L STUBBLEFIELD LMSW
611 HOOPES AVE
IDAHO FALLS, ID 83401-6106
Phone number: 208-557-7500
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Mailing Address
SHANA L STUBBLEFIELD LMSW
2415 EASTVIEW DR
IDAHO FALLS, ID 83401-3319
Phone number: 208-917-0561
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