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Individual

MS. KATHERINE JEAN HUBBARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
482 CONSTITUTION WAY, IDAHO FALLS, ID 83402-3565
(208) 932-4493
(208) 932-4582
Mailing address
3415 RAWSON ST, AMMON, ID 83406-7772
(801) 518-0393

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
10/27/2015
Last updated
10/27/2015
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