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1669844320
JACQUELINE BAZZLE
BOISE, ID
NPI
1669844320
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Former Name
JACQUELINE CHERI SMITHEE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC5973)
Enumeration Date
2015-10-21
Last Update Date
2020-12-16
Business Address
JACQUELINE BAZZLE LPC
6126 W STATE ST # 409
BOISE, ID 83703-2741
Phone number: 208-376-7083
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Mailing Address
JACQUELINE BAZZLE LPC
6126 W STATE ST # 409
BOISE, ID 83703-2741
Phone number: 208-287-9420
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