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Individual

SARAH NICOLLE BAQUET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
224 S ARTHUR AVE # 2, POCATELLO, ID 83204-3202
(208) 242-3771
Mailing address
224 S ARTHUR AVE # 2, POCATELLO, ID 83204-3202

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
6381
101Y00000X
Counselor
Primary
LPC-6381
ID

Other

Enumeration date
05/03/2018
Last updated
05/03/2018
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