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1205232717
CARSON J BEDKE
BOISE, ID
NPI
1205232717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID 5624)
Enumeration Date
2014-11-10
Last Update Date
2014-11-10
Business Address
-- CARSON J BEDKE LPC
4319 W ROSE HILL CT
BOISE, ID 83705-1361
Phone number: 208-681-4186
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Mailing Address
-- CARSON J BEDKE LPC
4319 W ROSE HILL CT
BOISE, ID 83705-1361
Phone number: 208-681-4186
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