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1518734748
FATUMA Y MNONGERWA
BOISE, ID
NPI
1518734748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW-44431)
Enumeration Date
2023-12-07
Last Update Date
2023-12-07
Business Address
FATUMA Y MNONGERWA
1111 S ORCHARD ST STE 245
BOISE, ID 83705-1964
Phone number: 208-570-4798
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Mailing Address
FATUMA Y MNONGERWA
15564 FUCHSIA AVE
NAMPA, ID 83651-5100
Phone number: 208-570-4798
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