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1720860810
RILEY FAIRGRIEVE
BOISE, ID
NPI
1720860810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-9829)
Enumeration Date
2023-10-16
Last Update Date
2024-09-03
Business Address
RILEY FAIRGRIEVE LPC
816 W BANNOCK ST STE 201
BOISE, ID 83702-5896
Phone number: 208-987-1436
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Mailing Address
RILEY FAIRGRIEVE LPC
2014 S DIVISION AVE
BOISE, ID 83706-4211
Phone number:
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