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1477010460
PAUL VANDAELE
BOISE, ID
NPI
1477010460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-5781)
Enumeration Date
2019-02-26
Last Update Date
2019-02-26
Business Address
PAUL VANDAELE MA; LPC
3350 W AMERICANA TER STE 210B
BOISE, ID 83706-2521
Phone number: 720-212-7446
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Mailing Address
PAUL VANDAELE MA; LPC
2646 N COLUMBINE AVE
BOISE, ID 83713-5257
Phone number: 720-212-7446
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