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1649536418
TRAVIS PAUL HAASE
BOISE, ID
NPI
1649536418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID 4901)
Enumeration Date
2012-04-05
Last Update Date
2012-04-05
Business Address
-- TRAVIS PAUL HAASE LCPC
413 N ALLUMBAUGH ST SUITE 101
BOISE, ID 83704-9212
Phone number: 208-323-1125
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Mailing Address
-- TRAVIS PAUL HAASE LCPC
2704 SUNFLOWER DR
NAMPA, ID 83686-7118
Phone number: 208-340-6996
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