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1295863157
ANDREA LEEDS
BOISE, ID
NPI
1295863157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCSW1060)
Enumeration Date
2007-03-01
Last Update Date
2007-07-09
Business Address
-- ANDREA LEEDS LCSW
1607 W JEFFERSON ST
BOISE, ID 83702-5111
Phone number: 208-336-5533
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Mailing Address
-- ANDREA LEEDS LCSW
1607 W JEFFERSON ST
BOISE, ID 83702-5111
Phone number: 208-336-5533
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