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1376804179
RAELYNN FRITZ GRANT
BOISE, ID
NPI
1376804179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPC 4853)
Enumeration Date
2012-06-07
Last Update Date
2012-06-11
Business Address
Mrs. RAELYNN FRITZ GRANT LPC
410 S ORCHARD ST STE 132
BOISE, ID 83705-1288
Phone number: 208-761-0980
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Mailing Address
Mrs. RAELYNN FRITZ GRANT LPC
1415 S COLORADO AVE
BOISE, ID 83706-3741
Phone number: 208-761-0980
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