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Individual

LUCY BRAZIL-WILKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
834 FALLS AVE STE 1050, TWIN FALLS, ID 83301-3363
(208) 736-0995
(208) 736-0999
Mailing address
834 FALLS AVE STE 1050, TWIN FALLS, ID 83301-3363

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC4567
ID

Other

Enumeration date
09/23/2010
Last updated
09/23/2010
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