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1275975914
CARLY BROADHEAD
MERIDIAN, ID
NPI
1275975914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-07-23
Last Update Date
2019-03-07
Business Address
CARLY BROADHEAD MA, NCC, LPC
3071 E FRANKLIN RD STE 201
MERIDIAN, ID 83642
Phone number: 208-807-2877
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Mailing Address
CARLY BROADHEAD MA, NCC, LPC
11828 W FAIRVIEW AVE APT 202
BOISE, ID 83713-7802
Phone number: 986-200-9268
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