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1164205795
THE DIVINE LENGTHS LLC
NAMPA, ID
NPI
1164205795
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Entity Type
Organization
Authorized Contact
ANGELIA THORNE
Clinical Director
208-600-9207
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2023-08-16
Last Update Date
2023-08-16
Business Address
THE DIVINE LENGTHS LLC
824 17TH AVE S STE 5
NAMPA, ID 83651-4781
Phone number: 208-600-9207
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Mailing Address
THE DIVINE LENGTHS LLC
824 17TH AVE S STE 5
NAMPA, ID 83651-4781
Phone number: 208-600-9207
Copy
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