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STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE

Psychologist

NPI: 1609267715Organization

Specialties, Licenses & Credentials

Psychologist

Code: 103T00000X

Psychologist — Clinical

Code: 103TC0700X

Contact & Hours

Address
700 EAST ALICE
BLACKFOOT, ID 83221

Quick Facts

NPI
1609267715
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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