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1972789535
ANN JOLENE MOORE
BOISE, ID
NPI
1972789535
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Former Name
ANN JOLENE BARRUS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-3938)
Enumeration Date
2008-01-14
Last Update Date
2013-04-02
Business Address
-- ANN JOLENE MOORE L.C.P.C.
4696 W OVERLAND RD SUITE 118
BOISE, ID 83705-2845
Phone number: 208-841-3581
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Mailing Address
-- ANN JOLENE MOORE L.C.P.C.
4696 W OVERLAND RD SUITE 118
BOISE, ID 83705-2845
Phone number: 208-841-3581
Copy
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