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1770224644
JEAN LOVELACE
BOISE, ID
NPI
1770224644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID COUI-8557)
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
JEAN LOVELACE
1011 W WILLIAMS ST STE G
BOISE, ID 83706-3564
Phone number: 208-991-0222
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Mailing Address
JEAN LOVELACE
1011 W WILLIAMS ST STE G
BOISE, ID 83706-3564
Phone number: 208-991-0222
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