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1053016600
MIRANDA ROSS PALMER
MERIDIAN, ID
NPI
1053016600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ID LPC-3797)
Enumeration Date
2023-04-03
Last Update Date
2023-04-03
Business Address
MIRANDA ROSS PALMER LPC
429 SW 5TH AVE STE 110
MERIDIAN, ID 83642-5037
Phone number: 208-490-2234
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Mailing Address
MIRANDA ROSS PALMER LPC
7660 W MANORWOOD DR
BOISE, ID 83704-3555
Phone number: 208-409-0083
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