POLLY A PETERSON

BOISE, ID
NPI1740340678
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  COUN-50)
Enumeration Date2006-12-11
Last Update Date2007-07-08
Business Address
Dr. POLLY A PETERSON Ph.D.
1406 E FRANKLIN ST
BOISE, ID 83712-7404
Phone number: 208-331-1936
Mailing Address
Dr. POLLY A PETERSON Ph.D.
1406 E FRANKLIN ST
BOISE, ID 83712-7404
Phone number: 208-331-1936
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