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1407209497
KATEY STROUD CLARK
BOISE, ID
NPI
1407209497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LMSW - 31618)
Enumeration Date
2016-07-14
Last Update Date
2016-07-14
Business Address
-- KATEY STROUD CLARK LMSW
2995 N COLE RD STE 225
BOISE, ID 83704-5966
Phone number: 208-841-4890
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Mailing Address
-- KATEY STROUD CLARK LMSW
2995 N COLE RD STE 225
BOISE, ID 83704-5966
Phone number: 208-841-4890
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