TARA LZICAR

BOISE, ID
NPI1740605112
Former NameTARA BRENNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  LCPC-6457)
Enumeration Date2014-02-21
Last Update Date2018-07-25
Business Address
TARA LZICAR LCPC
300 S 23RD ST
BOISE, ID 83702-9100
Phone number: 208-344-3512
Mailing Address
TARA LZICAR LCPC
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-461-7149
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