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1780216416
STEPHANIE LYNN WATTS
BOISE, ID
NPI
1780216416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID 1094)
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
STEPHANIE LYNN WATTS CADC
9196 W BARNES DR
BOISE, ID 83709-1552
Phone number: 208-433-0400
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Mailing Address
STEPHANIE LYNN WATTS CADC
9196 W BARNES DR
BOISE, ID 83709-1552
Phone number: 208-433-0400
Copy
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