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1760686372
LEAH MARIE SUDDARTH
BOISE, ID
NPI
1760686372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-7441)
Enumeration Date
2007-06-14
Last Update Date
2023-07-14
Business Address
LEAH MARIE SUDDARTH LCPC
2589 S FIVE MILE RD
BOISE, ID 83709-2325
Phone number: 208-908-6320
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Mailing Address
LEAH MARIE SUDDARTH LCPC
2589 S FIVE MILE RD
BOISE, ID 83709-2325
Phone number: 208-908-6320
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