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1801939533
MONTY L MOORE JOHNSON
BOISE, ID
NPI
1801939533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-209)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
-- MONTY L MOORE JOHNSON LCPC
6540 W EMERALD ST SUITE 100
BOISE, ID 83704-8782
Phone number: 208-376-0979
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Mailing Address
-- MONTY L MOORE JOHNSON LCPC
PO BOX 44689
BOISE, ID 83711-0689
Phone number: 208-376-0979
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