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Individual

KAITLIN MICHELLE CLAYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
444 HOSPITAL WAY STE 477, POCATELLO, ID 83201-2744
(208) 233-7832
Mailing address
444 HOSPITAL WAY STE 477, POCATELLO, ID 83201-2744
(208) 233-7832

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10564
ID

Other

Enumeration date
10/27/2020
Last updated
05/29/2024
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