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1922737097
CAMERON KEITH WIEMERSLAGE
BOISE, ID
NPI
1922737097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-8797)
Enumeration Date
2022-06-06
Last Update Date
2022-06-06
Business Address
CAMERON KEITH WIEMERSLAGE LPC
161 E MALLARD DR
BOISE, ID 83706-5015
Phone number: 208-605-3657
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Mailing Address
CAMERON KEITH WIEMERSLAGE LPC
6909 W WESTFIELD PL
BOISE, ID 83704-4651
Phone number: 208-914-4645
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