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1962082594
CHARLIE N HANSEN
CHUBBUCK, ID
NPI
1962082594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-7001)
Enumeration Date
2021-04-08
Last Update Date
2021-04-08
Business Address
CHARLIE N HANSEN LPC
265 E CHUBBUCK RD
CHUBBUCK, ID 83202-5055
Phone number: 208-237-1711
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Mailing Address
CHARLIE N HANSEN LPC
1027 N UNIVERSITY AVE
BLACKFOOT, ID 83221-1862
Phone number: 208-716-3003
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