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1760627657
DANA L VANDERGIESSEN
MERIDIAN, ID
NPI
1760627657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LCPC4166)
Enumeration Date
2008-12-08
Last Update Date
2008-12-08
Business Address
-- DANA L VANDERGIESSEN LCPC
2770 E FRANKLIN RD
MERIDIAN, ID 83642-5953
Phone number: 208-855-0660
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Mailing Address
-- DANA L VANDERGIESSEN LCPC
355 STAGECOACH WAY
KUNA, ID 83634-2341
Phone number: 208-420-3199
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