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1114684891
AMANDA ROSE WISE
MERIDIAN, ID
NPI
1114684891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-8499)
Enumeration Date
2021-11-17
Last Update Date
2021-11-17
Business Address
AMANDA ROSE WISE LPC
2176 E FRANKLIN RD STE 100
MERIDIAN, ID 83642-8009
Phone number: 208-614-3413
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Mailing Address
AMANDA ROSE WISE LPC
2176 E FRANKLIN RD STE 100
MERIDIAN, ID 83642-8009
Phone number:
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