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1962063487
CANDACE COOPER
BOISE, ID
NPI
1962063487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LCPC-8147)
Enumeration Date
2019-06-25
Last Update Date
2022-04-03
Business Address
CANDACE COOPER LPC
3350 W AMERICANA TER STE 210B
BOISE, ID 83706-2521
Phone number: 208-316-9381
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Mailing Address
CANDACE COOPER LPC
10416 W PETEARANA ST
BOISE, ID 83704-1251
Phone number: 208-316-9381
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