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1265718753
SUSAN D OLDENKAMP
BOISE, ID
NPI
1265718753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-4823)
Enumeration Date
2011-10-27
Last Update Date
2011-10-27
Business Address
-- SUSAN D OLDENKAMP LPC, NCC
717 N 11TH ST
BOISE, ID 83702-5365
Phone number: 208-319-1002
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Mailing Address
-- SUSAN D OLDENKAMP LPC, NCC
717 N 11TH ST
BOISE, ID 83702-5365
Phone number: 208-319-1002
Copy
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