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1770273534
MARK CALDWELL SMITH
BOISE, ID
NPI
1770273534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPC-9657)
Enumeration Date
2023-05-15
Last Update Date
2023-07-03
Business Address
MARK CALDWELL SMITH LPC - 9657
5503 W KENDALL ST
BOISE, ID 83706-1240
Phone number: 208-912-7362
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Mailing Address
MARK CALDWELL SMITH LPC - 9657
775 W NANNYBERRY ST
KUNA, ID 83634-5575
Phone number: 208-391-8927
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