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1821681982
ISSA NTAKARUTIMANA
BOISE, ID
NPI
1821681982
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Former Name
NTAKAUTIMANA ISSA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-02-18
Last Update Date
2024-07-23
Business Address
ISSA NTAKARUTIMANA LCSW
500 W BANNOCK ST
BOISE, ID 83702-5916
Phone number: 208-598-8442
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Mailing Address
ISSA NTAKARUTIMANA LCSW
205 S BRUCE LN
BOISE, ID 83712-7804
Phone number: 208-906-5878
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