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1508254731
DOMINIQUE AVERY
BOISE, ID
NPI
1508254731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-5677)
Enumeration Date
2014-12-22
Last Update Date
2014-12-22
Business Address
-- DOMINIQUE AVERY
1011 W WILLIAMS ST SUITE G
BOISE, ID 83706-3564
Phone number: 208-352-0803
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Mailing Address
-- DOMINIQUE AVERY
2302 N 14TH ST
BOISE, ID 83702-1109
Phone number:
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