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1063816007
INGRI SUZANNE KOLOSKI
GARDEN CITY, ID
NPI
1063816007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LPC-4252)
Enumeration Date
2014-10-20
Last Update Date
2014-10-20
Business Address
MS. INGRI SUZANNE KOLOSKI LPC
8969 WEST HEPBURN LANE
GARDEN CITY, ID 83714
Phone number: 208-972-4981
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Mailing Address
MS. INGRI SUZANNE KOLOSKI LPC
8969 W HEPBURN LN
BOISE, ID 83714-6722
Phone number: 208-972-4981
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