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1083976146
JENNIFER KEANE
COEUR D ALENE, ID
NPI
1083976146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-3044)
Enumeration Date
2012-06-13
Last Update Date
2012-06-13
Business Address
-- JENNIFER KEANE LPC
1717 LINCOLN WAY SUITE 101
COEUR D ALENE, ID 83814-2556
Phone number: 208-699-5536
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Mailing Address
-- JENNIFER KEANE LPC
4938 N SHAW LOOP RD
COEUR D ALENE, ID 83815-7005
Phone number: 208-699-5536
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