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1740605112
TARA LZICAR
BOISE, ID
NPI
1740605112
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Former Name
TARA BRENNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ID LCPC-6457)
Enumeration Date
2014-02-21
Last Update Date
2018-07-25
Business Address
TARA LZICAR LCPC
300 S 23RD ST
BOISE, ID 83702-9100
Phone number: 208-344-3512
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Mailing Address
TARA LZICAR LCPC
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-461-7149
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