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1366480956
MICHELE JEAN UNSWORTH
BOISE, ID
NPI
1366480956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-3312)
Enumeration Date
2006-06-03
Last Update Date
2007-07-08
Business Address
-- MICHELE JEAN UNSWORTH LCPC
1412 W WASHINGTON ST
BOISE, ID 83702-5038
Phone number: 208-562-0503
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Mailing Address
-- MICHELE JEAN UNSWORTH LCPC
4500 PINTO DR
BOISE, ID 83709-5025
Phone number: 208-562-0503
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