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1891447751
KENDRA JEAN NIELSON
MERIDIAN, ID
NPI
1891447751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-8629)
Enumeration Date
2022-01-21
Last Update Date
2022-01-21
Business Address
KENDRA JEAN NIELSON
1901 N LAKES PL STE 150
MERIDIAN, ID 83646-5939
Phone number: 208-890-7165
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Mailing Address
KENDRA JEAN NIELSON
14331 CREGO ST
CALDWELL, ID 83607-4815
Phone number: 208-757-0067
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