Individual
LAURA LEE SHEPHERD KLOSTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
548 LOMAX ST, IDAHO FALLS, ID 83401-2634
(208) 524-3733
(208) 524-3738
Mailing address
548 LOMAX ST, IDAHO FALLS, ID 83401-2634
(208) 524-3733
(208) 524-3738
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC-3937
ID
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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