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1720310519
LUCIA SANDOVAL
BOISE, ID
NPI
1720310519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPC-4264)
Enumeration Date
2010-02-04
Last Update Date
2010-02-04
Business Address
-- LUCIA SANDOVAL LPC
1199 W SHORELINE LN
BOISE, ID 83702-6813
Phone number: 208-954-4691
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Mailing Address
-- LUCIA SANDOVAL LPC
3421 E MISTYWOODS ST
BOISE, ID 83706-6902
Phone number: 208-954-4691
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