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1154993517
SARA COOKE-WALL
NAMPA, ID
NPI
1154993517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-8202)
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
SARA COOKE-WALL LPC
320 11TH AVE S STE 204
NAMPA, ID 83651-5074
Phone number: 208-717-5312
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Mailing Address
SARA COOKE-WALL LPC
10094 W EDNA ST
BOISE, ID 83704-4064
Phone number: 704-280-5510
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