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1417646985
CASANDRA SUZANNE VEGWERT
BOISE, ID
NPI
1417646985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-9280)
Enumeration Date
2023-05-02
Last Update Date
2023-05-02
Business Address
CASANDRA SUZANNE VEGWERT LPC
8050 W NORTHVIEW ST
BOISE, ID 83704-7126
Phone number: 208-327-0504
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Mailing Address
CASANDRA SUZANNE VEGWERT LPC
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
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