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1588232904
POLLY PETERSON
BOISE, ID
NPI
1588232904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPC-7723)
Enumeration Date
2021-06-13
Last Update Date
2023-08-07
Business Address
Mrs. POLLY PETERSON LPC
4948 W KOOTENAI ST STE 201
BOISE, ID 83705-2082
Phone number: 208-810-0523
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Mailing Address
Mrs. POLLY PETERSON LPC
4948 W KOOTENAI ST STE 201
BOISE, ID 83705-2082
Phone number: 208-810-0523
Copy
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