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1457850612
KRISTIE LOUDERBOUGH
BOISE, ID
NPI
1457850612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPC-6530)
Enumeration Date
2018-02-02
Last Update Date
2018-02-02
Business Address
KRISTIE LOUDERBOUGH LPC
1276 W RIVER ST STE 100
BOISE, ID 83702-7083
Phone number: 208-338-4699
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Mailing Address
KRISTIE LOUDERBOUGH LPC
1611 W MARTHA ST
BOISE, ID 83706-2932
Phone number:
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