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1306246756
KATELEN FORTUNATI
BOISE, ID
NPI
1306246756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 40125)
Enumeration Date
2014-09-03
Last Update Date
2024-02-26
Business Address
KATELEN FORTUNATI
6126 W STATE ST STE 310
BOISE, ID 83703-2741
Phone number: 208-484-5737
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Mailing Address
KATELEN FORTUNATI
6126 W STATE ST STE 206
BOISE, ID 83703-2741
Phone number: 208-917-3114
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