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1164059549
KATHERINE WANNETTA KAPUA WHITING
BOISE, ID
NPI
1164059549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 11439605-3902)
Enumeration Date
2020-03-25
Last Update Date
2024-07-08
Business Address
KATHERINE WANNETTA KAPUA WHITING LMFT, MS
1655 W FAIRVIEW AVE STE 209
BOISE, ID 83702-5190
Phone number: 208-352-0490
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Mailing Address
KATHERINE WANNETTA KAPUA WHITING LMFT, MS
207 E 40TH ST TRLR 6
GARDEN CITY, ID 83714-6386
Phone number: 208-352-0490
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