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1306974365
LAURISA ROGERS LUSBY
BOISE, ID
NPI
1306974365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 26313)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
-- LAURISA ROGERS LUSBY LCSW
413 ALLUMBAUGH ST STE 102
BOISE, ID 83704-9212
Phone number: 208-287-0993
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Mailing Address
-- LAURISA ROGERS LUSBY LCSW
2584 E BERGESON ST
BOISE, ID 83706-6014
Phone number: 208-921-3501
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