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1720409998
KEVIN ROSS
BOISE, ID
NPI
1720409998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-5036)
Enumeration Date
2013-12-13
Last Update Date
2017-02-09
Business Address
-- KEVIN ROSS LPC
7227 W POTOMAC DR
BOISE, ID 83704-9150
Phone number: 208-440-7388
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Mailing Address
-- KEVIN ROSS LPC
7227 W POTOMAC DR
BOISE, ID 83704-9150
Phone number: 208-440-7388
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