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Individual

PAT M KAES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
228 SHOUP AVE W, TWIN FALLS, ID 83301-5022
(208) 734-6760
(208) 734-6764
Mailing address
228 SHOUP AVE W, TWIN FALLS, ID 83301-5022
(208) 734-6760
(208) 734-6764

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC-3321
ID

Other

Enumeration date
09/08/2010
Last updated
09/08/2010
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