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1184895997
ELIZABETH T LARSON
MERIDIAN, ID
NPI
1184895997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC397)
Enumeration Date
2008-03-19
Last Update Date
2008-03-19
Business Address
-- ELIZABETH T LARSON
2176 E FRANKLIN RD
MERIDIAN, ID 83642-9024
Phone number: 208-830-4036
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Mailing Address
-- ELIZABETH T LARSON
5621 LYNWOOD PL
BOISE, ID 83706-1035
Phone number: 208-323-1473
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