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1811023807
SUSAN RENE' GREENOUGH
MERIDIAN, ID
NPI
1811023807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-3633)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
-- SUSAN RENE' GREENOUGH L.P.C.
2192 S ALASKA WAY
MERIDIAN, ID 83642-8131
Phone number: 208-859-3422
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Mailing Address
-- SUSAN RENE' GREENOUGH L.P.C.
2192 S ALASKA WAY
MERIDIAN, ID 83642-8131
Phone number: 208-887-1890
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