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1922335678
KEN ROY MARLOWE
IDAHO FALLS, ID
NPI
1922335678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCPC2685)
Enumeration Date
2009-11-17
Last Update Date
2012-07-25
Business Address
-- KEN ROY MARLOWE LCPC
1970 E 17TH ST SUITE 202
IDAHO FALLS, ID 83404-8014
Phone number: 208-523-5319
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Mailing Address
-- KEN ROY MARLOWE LCPC
PO BOX 2106
IDAHO FALLS, ID 83403-2106
Phone number: 208-523-5319
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