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1518792886
ERICA CROCKETT
BOISE, ID
NPI
1518792886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID 9061774)
Enumeration Date
2024-09-05
Last Update Date
2024-09-05
Business Address
ERICA CROCKETT LPC, NCC
1813 W PALOUSE ST
BOISE, ID 83705-3534
Phone number: 208-409-0158
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Mailing Address
ERICA CROCKETT LPC, NCC
1813 W PALOUSE ST
BOISE, ID 83705-3534
Phone number: 208-409-0158
Copy
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