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Individual

SHAYLA F WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
459 S ARTHUR AVE, POCATELLO, ID 83204-3303
(208) 232-8840
Mailing address
102 GREENWOOD AVE, POCATELLO, ID 83204-4043
(208) 232-8840

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5017
ID

Other

Enumeration date
09/25/2013
Last updated
09/25/2013
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