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1164583407
RUTH A LARSON
MERIDIAN, ID
NPI
1164583407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC278)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
-- RUTH A LARSON LCPC
934 E 5TH ST
MERIDIAN, ID 83642-2357
Phone number: 208-888-1320
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Mailing Address
-- RUTH A LARSON LCPC
934 E 5TH ST
MERIDIAN, ID 83642-2357
Phone number: 208-888-1320
Copy
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