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1356998421
SOUL SAGE, LLC
BOISE, ID
NPI
1356998421
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Entity Type
Organization
Authorized Contact
CELESTE LACOMBE NELSON
Sole Mbr/ Owner
208-488-8864
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2019-08-22
Last Update Date
2020-03-10
Business Address
SOUL SAGE, LLC
1617 W JEFFERSON ST
BOISE, ID 83702-5111
Phone number: 208-488-8864
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Mailing Address
SOUL SAGE, LLC
9683 W HOMEWOOD DR
BOISE, ID 83709-5334
Phone number: 208-886-0271
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