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1922349281
JACQUELYN DONNA SHOTWELL-VANDERHOOF
BOISE, ID
NPI
1922349281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: ID LAMFT-4933)
Enumeration Date
2013-03-12
Last Update Date
2013-03-12
Business Address
-- JACQUELYN DONNA SHOTWELL-VANDERHOOF
1529 S TIMESQUARE LN STE 200
BOISE, ID 83709-8201
Phone number: 208-376-1532
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Mailing Address
-- JACQUELYN DONNA SHOTWELL-VANDERHOOF
10580 ALPINE ST
NAMPA, ID 83687-5096
Phone number:
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