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Individual

KANSAS KAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2265 W. BROADWAY ST., REXBURG, ID 83440
(208) 524-7400
Mailing address
2227 N 4000 W, REXBURG, ID 83440-3113

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44806
ID

Other

Enumeration date
03/14/2024
Last updated
03/14/2024
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