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1881236974
ROBERT E. DEVORE
BOISE, ID
NPI
1881236974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-6644)
Enumeration Date
2019-10-10
Last Update Date
2019-10-10
Business Address
ROBERT E. DEVORE LPC
400 N BENJAMIN LN
BOISE, ID 83704-5094
Phone number: 208-287-7660
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Mailing Address
ROBERT E. DEVORE LPC
1774 S BARLOW LN
BOISE, ID 83709-3001
Phone number: 904-536-5469
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