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1003101189
ROXANNE L PICKEREL
BOISE, ID
NPI
1003101189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC4245)
Enumeration Date
2011-06-16
Last Update Date
2024-02-14
Business Address
ROXANNE L PICKEREL M.S., LCPC
203 W FORT ST
BOISE, ID 83702-4528
Phone number: 208-841-8109
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Mailing Address
ROXANNE L PICKEREL M.S., LCPC
203 W FORT ST
BOISE, ID 83702-4528
Phone number: 208-841-8109
Copy
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