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1336874445
STACI ROCK SOMES
MERIDIAN, ID
NPI
1336874445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC8965)
Enumeration Date
2022-07-21
Last Update Date
2022-07-21
Business Address
STACI ROCK SOMES LPC, NCC
4337 S MAESAIA WAY
MERIDIAN, ID 83642-9084
Phone number: 208-607-3639
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Mailing Address
STACI ROCK SOMES LPC, NCC
PO BOX 191097
BOISE, ID 83719-1097
Phone number: 208-607-3639
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