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1831320662
KERIN ROSE
BOISE, ID
NPI
1831320662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-4248)
Enumeration Date
2009-07-28
Last Update Date
2009-07-28
Business Address
-- KERIN ROSE LPC
717 N 11TH ST
BOISE, ID 83702-5365
Phone number: 208-319-1002
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Mailing Address
-- KERIN ROSE LPC
PO BOX 801
BOISE, ID 83701-0801
Phone number: 208-342-0272
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