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1538840699
KIMBERLY NEEDHAM
BOISE, ID
NPI
1538840699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
KIMBERLY NEEDHAM
9490 W FAIRVIEW AVE
BOISE, ID 83704-8101
Phone number: 208-486-0556
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Mailing Address
KIMBERLY NEEDHAM
9368 W MARIGOLD ST
BOISE, ID 83714-1143
Phone number: 208-515-6048
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