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1982296034
STELA RISTO
IDAHO FALLS, ID
NPI
1982296034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW-40443)
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
STELA RISTO LMSW
1248 E 17TH ST
IDAHO FALLS, ID 83404-6147
Phone number: 208-542-1026
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Mailing Address
STELA RISTO LMSW
1248 E 17TH ST
IDAHO FALLS, ID 83404-6147
Phone number: 208-542-1026
Copy
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