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1932590221
VIRGINIA SPACKMAN
NAMPA, ID
NPI
1932590221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LCPC-7553)
Enumeration Date
2015-02-09
Last Update Date
2020-06-29
Business Address
VIRGINIA SPACKMAN M.ED, LCPC
3904 E FLAMINGO AVE STE 200
NAMPA, ID 83687-3144
Phone number: 208-639-1514
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Mailing Address
VIRGINIA SPACKMAN M.ED, LCPC
3904 E FLAMINGO AVE STE 200
NAMPA, ID 83687-3144
Phone number: 208-639-1514
Copy
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