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1962804757
GARY SEAN REDFORD
POCATELLO, ID
NPI
1962804757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-5620)
Enumeration Date
2014-09-23
Last Update Date
2014-09-23
Business Address
-- GARY SEAN REDFORD LPC, NCC
12930 N RIO VISTA RD
POCATELLO, ID 83202-5007
Phone number: 208-226-6059
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Mailing Address
-- GARY SEAN REDFORD LPC, NCC
12930 N RIO VISTA RD
POCATELLO, ID 83202-5007
Phone number: 208-226-6059
Copy
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