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1003665340
JAMES SAM CALDERHEAD
BOISE, ID
NPI
1003665340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: ID 9935)
Enumeration Date
2024-05-17
Last Update Date
2024-05-17
Business Address
JAMES SAM CALDERHEAD MA
5966 N BAGLEY AVE
BOISE, ID 83703-6104
Phone number: 208-631-2040
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Mailing Address
JAMES SAM CALDERHEAD MA
5966 N BAGLEY AVE
BOISE, ID 83703-6104
Phone number: 208-631-2040
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