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1740722537
CRYSTAL ROSENDAHL
BOISE, ID
NPI
1740722537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPC4782)
Enumeration Date
2016-11-09
Last Update Date
2016-11-09
Business Address
-- CRYSTAL ROSENDAHL LPC
3062 N FIVE MILE RD
BOISE, ID 83713-5215
Phone number: 208-376-4999
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Mailing Address
-- CRYSTAL ROSENDAHL LPC
3076 N FIVE MILE RD
BOISE, ID 83713-5215
Phone number: 208-376-4999
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