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1609542364
BROOKE LESLIE
MERIDIAN, ID
NPI
1609542364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID LCSW-43447)
Enumeration Date
2021-08-20
Last Update Date
2023-05-09
Business Address
BROOKE LESLIE LCSW
520 S EAGLE RD STE 1229
MERIDIAN, ID 83642-6355
Phone number: 208-383-0190
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Mailing Address
BROOKE LESLIE LCSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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