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1104406065
ELISSA PFAU
BOISE, ID
NPI
1104406065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-7286)
Enumeration Date
2021-04-13
Last Update Date
2021-04-13
Business Address
Mrs. ELISSA PFAU LPC
8601 W EMERALD ST STE 130
BOISE, ID 83704-8209
Phone number: 208-600-2184
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Mailing Address
Mrs. ELISSA PFAU LPC
1553 E TUTTLE ST
MERIDIAN, ID 83646-4861
Phone number:
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