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1992186506
JACLYN MOORE
BOISE, ID
NPI
1992186506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID 6879)
Enumeration Date
2015-06-10
Last Update Date
2018-08-16
Business Address
JACLYN MOORE LCPC
2577 S FIVE MILE RD STE 101
BOISE, ID 83709
Phone number: 208-639-1897
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Mailing Address
JACLYN MOORE LCPC
2577 S FIVE MILE RD STE 101
BOISE, ID 83709-2325
Phone number: 208-639-1897
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