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1114312725
NICHOLAS MANFREDO
BOISE, ID
NPI
1114312725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-5735)
Enumeration Date
2015-03-31
Last Update Date
2015-03-31
Business Address
-- NICHOLAS MANFREDO MS, LPC
890 N COLE RD
BOISE, ID 83704-8614
Phone number: 208-322-1026
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Mailing Address
-- NICHOLAS MANFREDO MS, LPC
890 N COLE RD
BOISE, ID 83704-8614
Phone number:
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