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1154476182
LETA M NEUSTAEDTER
BOISE, ID
NPI
1154476182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID lcsw-28520)
Enumeration Date
2007-01-23
Last Update Date
2009-10-13
Business Address
-- LETA M NEUSTAEDTER LCSW
910 MAIN ST #231
BOISE, ID 83702-5720
Phone number: 208-697-4703
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Mailing Address
-- LETA M NEUSTAEDTER LCSW
910 MAIN ST #231
BOISE, ID 83702-5720
Phone number: 208-697-4703
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