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Individual

LYNN WIDDISON SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.COUN.

Contact information

Practice address
343 E 4TH N STE 204, REXBURG, ID 83440-6006
(208) 390-2177
(307) 333-0515
Mailing address
PO BOX 481, REXBURG, ID 83440-0481
(208) 390-2177
(307) 333-0515

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LMFT 2906
ID
106H00000X
Marriage & Family Therapist
Primary
LMFT-6603
ID

Other

Enumeration date
04/13/2007
Last updated
12/11/2023
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