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1073793097
LOUISE T VAN DER EIJK
BOISE, ID
NPI
1073793097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH6495)
Enumeration Date
2007-11-07
Last Update Date
2021-12-08
Business Address
Dr. LOUISE T VAN DER EIJK Ph.D.
3350 W AMERICANA TER STE 320
BOISE, ID 83706-2548
Phone number: 208-621-4001
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Mailing Address
Dr. LOUISE T VAN DER EIJK Ph.D.
967 E PARKCENTER BLVD # 240
BOISE, ID 83706-6721
Phone number: 208-621-4001
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