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1407679327
AMITY HEYBORNE
MERIDIAN, ID
NPI
1407679327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-9513)
Enumeration Date
2024-11-07
Last Update Date
2024-11-07
Business Address
AMITY HEYBORNE LPC
211 E PINE AVE STE 106
MERIDIAN, ID 83642-2321
Phone number: 208-954-1527
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Mailing Address
AMITY HEYBORNE LPC
594 W KODIAK DR
MERIDIAN, ID 83642-8119
Phone number: 208-954-1527
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