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1811985419
RICHARD E. BLOOD
BOISE, ID
NPI
1811985419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LCPC-3288)
Enumeration Date
2005-10-09
Last Update Date
2022-10-12
Business Address
Mr. RICHARD E. BLOOD LCPC
2717 W BANNOCK ST STE 101
BOISE, ID 83702-4724
Phone number: 208-314-1008
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Mailing Address
Mr. RICHARD E. BLOOD LCPC
1755 WESTGATE DR SUITE 260
BOISE, ID 83704-7174
Phone number: 208-373-0790
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