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1912390683
ANGELA ELLEN DALLOLIO
BOISE, ID
NPI
1912390683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCSW-37336)
Enumeration Date
2015-03-05
Last Update Date
2018-04-09
Business Address
-- ANGELA ELLEN DALLOLIO LMSW
6550 W EMERALD ST STE 108
BOISE, ID 83704-8780
Phone number: 208-342-6300
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Mailing Address
-- ANGELA ELLEN DALLOLIO LMSW
13 E ADA AVE
MERIDIAN, ID 83642-2725
Phone number: 208-342-6300
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