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1891237228
COURTNEY HAVIKEN
HAYDEN, ID
NPI
1891237228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW-42848)
Enumeration Date
2016-11-16
Last Update Date
2024-07-26
Business Address
COURTNEY HAVIKEN
827 W PRAIRIE AVE
HAYDEN, ID 83835-8459
Phone number: 208-719-7158
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Mailing Address
COURTNEY HAVIKEN
827 W PRAIRIE AVE
HAYDEN, ID 83835-8459
Phone number: 208-719-7158
Copy
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