ANNE BACON WAGSTAFF

COEUR D ALENE, ID
NPI1962572230
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  LPC-779)
Enumeration Date2006-11-08
Last Update Date2007-07-08
Business Address
-- ANNE BACON WAGSTAFF LPC
7905 N MEADOWLARK WAY SUITE C
COEUR D ALENE, ID 83815-5041
Phone number: 208-762-3979
Mailing Address
-- ANNE BACON WAGSTAFF LPC
7905 N MEADOWLARK WAY SUITE C
COEUR D ALENE, ID 83815-5041
Phone number: 208-762-3979
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