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1740767623
SERENA POLAND
MERIDIAN, ID
NPI
1740767623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-6955)
Enumeration Date
2018-07-24
Last Update Date
2018-07-24
Business Address
SERENA POLAND LPC
3019 S HUDSPETH AVE
MERIDIAN, ID 83642-4815
Phone number: 208-841-8821
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Mailing Address
SERENA POLAND LPC
3019 S HUDSPETH AVE
MERIDIAN, ID 83642-4815
Phone number: 208-841-8821
Copy
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