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1255764114
MARY LU OWENS
CALDWELL, ID
NPI
1255764114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW-24912)
Enumeration Date
2013-08-14
Last Update Date
2013-08-14
Business Address
-- MARY LU OWENS LMSW
1605 S KIMBALL AVE
CALDWELL, ID 83605-4548
Phone number: 208-454-2766
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Mailing Address
-- MARY LU OWENS LMSW
PO BOX 4824
BOISE, ID 83711-4824
Phone number: 208-697-6922
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