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1427565100
KATIE GULLEY
BOISE, ID
NPI
1427565100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-6624)
Enumeration Date
2018-01-04
Last Update Date
2018-01-04
Business Address
KATIE GULLEY
2305 W ONA ST
BOISE, ID 83705-8370
Phone number: 120-860-8123
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Mailing Address
KATIE GULLEY
2305 W ONA ST
BOISE, ID 83705-3528
Phone number: 208-608-1233
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