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1992079016
KENDRA LYN BAGSHAW
REXBURG, ID
NPI
1992079016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-6837)
Enumeration Date
2012-03-07
Last Update Date
2024-09-04
Business Address
KENDRA LYN BAGSHAW LCPC
343 E 4TH N STE 116
REXBURG, ID 83440-6003
Phone number: 208-201-6990
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Mailing Address
KENDRA LYN BAGSHAW LCPC
343 E 4TH N STE 116
REXBURG, ID 83440-6003
Phone number: 208-201-6990
Copy
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