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Individual

ABIGAIL LAWTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
316 S JEFFERSON ST, MOSCOW, ID 83843-2936
(208) 883-1144
Mailing address
345 GAMBELS LN, MOSCOW, ID 83843-8212

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/02/2024
Last updated
07/02/2024
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