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1184927550
MARY J JOHNSON
BOISE, ID
NPI
1184927550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC155)
Enumeration Date
2010-12-07
Last Update Date
2010-12-07
Business Address
-- MARY J JOHNSON LCPC
6550 W EMERALD ST STE 108
BOISE, ID 83704-8780
Phone number: 208-342-6300
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Mailing Address
-- MARY J JOHNSON LCPC
6550 W EMERALD ST STE 108
BOISE, ID 83704-8780
Phone number: 208-342-6300
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