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1760864946
LISA SIMONSON
BOISE, ID
NPI
1760864946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID 7910)
Enumeration Date
2015-06-24
Last Update Date
2022-11-22
Business Address
LISA SIMONSON LPC
7161 W POTOMAC DR
BOISE, ID 83704-9148
Phone number: 208-903-6399
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Mailing Address
LISA SIMONSON LPC
200 N 23RD ST STE 108
BOISE, ID 83702-4969
Phone number: 208-991-8916
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