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1750982971
RENELLE LASHAE BRUBAKER
NAMPA, ID
NPI
1750982971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-7925)
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
Mrs. RENELLE LASHAE BRUBAKER LPC
320 11TH AVE S STE 204
NAMPA, ID 83651-5074
Phone number: 775-388-7311
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Mailing Address
Mrs. RENELLE LASHAE BRUBAKER LPC
1750 S LINDER RD UNIT E202
MERIDIAN, ID 83642-7396
Phone number: 775-388-7311
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