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1053003343
BROOKE LYNN BEATTY
BOISE, ID
NPI
1053003343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LPC-9343)
Enumeration Date
2023-05-24
Last Update Date
2023-05-24
Business Address
BROOKE LYNN BEATTY LPC
3685 N MAYWOOD DR
BOISE, ID 83704-4344
Phone number: 208-866-6248
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Mailing Address
BROOKE LYNN BEATTY LPC
3685 N MAYWOOD DR
BOISE, ID 83704-4344
Phone number: 208-866-6248
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