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1235520099
SHANNON STEVENS-COMMERS
BOISE, ID
NPI
1235520099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID 1098005)
Enumeration Date
2015-02-13
Last Update Date
2015-02-13
Business Address
-- SHANNON STEVENS-COMMERS
1414 W FRANKLIN ST
BOISE, ID 83702-5023
Phone number: 208-850-9878
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Mailing Address
-- SHANNON STEVENS-COMMERS
7190 BARON AVE
BOISE, ID 83714-2408
Phone number: 208-258-4961
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