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1285968859
KENDAL MICHELLE TUCKER
BOISE, ID
NPI
1285968859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-4233)
Enumeration Date
2009-09-29
Last Update Date
2009-09-29
Business Address
-- KENDAL MICHELLE TUCKER LPC
2501 S GATEWOOD LN
BOISE, ID 83709-8575
Phone number: 208-841-0957
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Mailing Address
-- KENDAL MICHELLE TUCKER LPC
PO BOX 190986
BOISE, ID 83719-0986
Phone number: 208-841-0952
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