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1811381403
KATIE MARIE VAN TASSELL
BOISE, ID
NPI
1811381403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-5599)
Enumeration Date
2015-03-23
Last Update Date
2015-03-23
Business Address
-- KATIE MARIE VAN TASSELL LPC
2114 S ROOSEVELT ST
BOISE, ID 83705-3201
Phone number: 571-606-0792
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Mailing Address
-- KATIE MARIE VAN TASSELL LPC
2114 S ROOSEVELT ST
BOISE, ID 83705-3201
Phone number: 571-606-0792
Copy
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