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1760111637
KATIE BETTENCOURT
MERIDIAN, ID
NPI
1760111637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LMSW-42277)
Enumeration Date
2022-06-07
Last Update Date
2022-06-07
Business Address
KATIE BETTENCOURT LMSW
2068 S EAGLE RD
MERIDIAN, ID 83642-6707
Phone number: 208-340-1688
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Mailing Address
KATIE BETTENCOURT LMSW
2068 S EAGLE RD
MERIDIAN, ID 83642-6707
Phone number: 208-340-1688
Copy
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