Individual
KIMBERLEY SWEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
720 EAST ALICE STREET, BLACKFOOT, ID 83221-1912
(208) 785-5874
Mailing address
720 EAST ALICE STREET, BLACKFOOT, ID 83221-1912
(208) 785-5874
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-5940
ID
Other
Enumeration date
08/12/2015
Last updated
04/05/2016
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