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1083489512
JENNIFER FRASER
BOISE, ID
NPI
1083489512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-9890)
Enumeration Date
2023-11-15
Last Update Date
2024-02-02
Business Address
JENNIFER FRASER LPC
1075 E PARK BLVD
BOISE, ID 83712-7722
Phone number: 208-381-5970
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Mailing Address
JENNIFER FRASER LPC
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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