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1710869557
LUCAS CEDRIC PETERSEN
BOISE, ID
NPI
1710869557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 8911017)
Enumeration Date
2025-07-23
Last Update Date
2025-07-23
Business Address
LUCAS CEDRIC PETERSEN
6177 N OLIVER AVE
BOISE, ID 83714-2070
Phone number: 208-954-2310
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Mailing Address
LUCAS CEDRIC PETERSEN
6177 N OLIVER AVE
BOISE, ID 83714-2070
Phone number: 208-954-2310
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