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1861547614
SUSAN FROST
BOISE, ID
NPI
1861547614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID 1022797)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
-- SUSAN FROST CADC
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-3069
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Mailing Address
-- SUSAN FROST CADC
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-3069
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