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1457878258
KRISTIN PERSON STALEY
BOISE, ID
NPI
1457878258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LCPC-5939)
Enumeration Date
2017-08-23
Last Update Date
2017-08-23
Business Address
KRISTIN PERSON STALEY
9196 W EMERALD ST STE 130
BOISE, ID 83704-8003
Phone number: 208-323-4400
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Mailing Address
KRISTIN PERSON STALEY
11151 W HINSDALE ST
BOISE, ID 83713-3735
Phone number: 208-807-4920
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