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1679180103
KATIE MARIE POND
BOISE, ID
NPI
1679180103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-39645)
Enumeration Date
2020-09-29
Last Update Date
2020-11-19
Business Address
KATIE MARIE POND LCSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
KATIE MARIE POND LCSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-7684
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