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1902526833
JENNIFER ELAINE PETERSON
BOISE, ID
NPI
1902526833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-9027)
Enumeration Date
2022-08-31
Last Update Date
2022-09-02
Business Address
Mrs. JENNIFER ELAINE PETERSON LPC
12857 N ANDYS GULCH RD
BOISE, ID 83714-9423
Phone number: 208-401-4786
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Mailing Address
Mrs. JENNIFER ELAINE PETERSON LPC
12857 N ANDYS GULCH RD
BOISE, ID 83714-9423
Phone number: 208-401-4786
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