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1417997123
LADESSA KAYE FOSTER
BOISE, ID
NPI
1417997123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-65)
Enumeration Date
2006-06-08
Last Update Date
2007-07-08
Business Address
-- LADESSA KAYE FOSTER LCPC
720 W WASHINGTON ST
BOISE, ID 83702-5535
Phone number: 208-343-3688
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Mailing Address
-- LADESSA KAYE FOSTER LCPC
720 W WASHINGTON ST
BOISE, ID 83702-5535
Phone number: 208-343-3688
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