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1750834248
KATHERINE WALLACE LEBAR
BOISE, ID
NPI
1750834248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-6155)
Enumeration Date
2016-08-01
Last Update Date
2016-08-01
Business Address
-- KATHERINE WALLACE LEBAR LPC
1109 N 21ST ST
BOISE, ID 83702-3218
Phone number: 208-340-5622
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Mailing Address
-- KATHERINE WALLACE LEBAR LPC
1109 N 21ST ST
BOISE, ID 83702-3218
Phone number: 208-340-5622
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