SHANA L STUBBLEFIELD

IDAHO FALLS, ID
NPI1891146056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  35214)
Enumeration Date2016-06-28
Last Update Date2016-06-28
Business Address
-- SHANA L STUBBLEFIELD LMSW
611 HOOPES AVE
IDAHO FALLS, ID 83401-6106
Phone number: 208-557-7500
Mailing Address
-- SHANA L STUBBLEFIELD LMSW
2415 EASTVIEW DR
IDAHO FALLS, ID 83401-3319
Phone number: 208-917-0561
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