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1578286407
ELISABETH PEDERSON
BOISE, ID
NPI
1578286407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID 9156)
Enumeration Date
2022-09-26
Last Update Date
2022-09-26
Business Address
ELISABETH PEDERSON LPC
545 N BENJAMIN LN
BOISE, ID 83704-9623
Phone number: 208-322-1026
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Mailing Address
ELISABETH PEDERSON LPC
1520 S WHIPOORWILL WAY
BOISE, ID 83709-1369
Phone number: 208-863-8549
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