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1780016261
LORA R HASSE
BOISE, ID
NPI
1780016261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-6722)
Enumeration Date
2013-08-06
Last Update Date
2020-05-01
Business Address
LORA R HASSE LCPC
400 N BENJAMIN LN 201
BOISE, ID 83704-5094
Phone number: 208-287-5613
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Mailing Address
LORA R HASSE LCPC
12575 W GAMBRELL ST
STAR, ID 83669-5024
Phone number: 208-287-5613
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