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Individual

DR. LYNN ALISON FRALEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
504 MAIN, SUITE 422, LEWISTON, ID 83501
(509) 710-8171
(208) 247-9247
Mailing address
504 MAIN, SUITE 422, LEWISTON, ID 83501
(509) 710-8171
(208) 247-9247

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00007678
WA
103G00000X
Clinical Neuropsychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LH00007678
STATE LICENSE
WA
Enumeration date
04/16/2007
Last updated
01/17/2014
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