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1629228663
STACI COOPER
BOISE, ID
NPI
1629228663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-4487)
Enumeration Date
2008-09-26
Last Update Date
2024-04-23
Business Address
STACI COOPER LCPC
410 S ORCHARD ST. STE 140
BOISE, ID 83705-1288
Phone number: 986-686-6548
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Mailing Address
STACI COOPER LCPC
410 S ORCHARD ST. STE 140
BOISE, ID 83705-1288
Phone number: 503-314-7435
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