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Individual

LYLA SPRAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
600 E RIVERPARK LN, STE 200, BOISE, ID 83706-6551
(208) 344-5457
(208) 343-5165
Mailing address
600 E RIVERPARK LN, STE 200, BOISE, ID 83706-6551
(208) 344-5457
(208) 343-5165

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC229
ID

Other

Enumeration date
03/14/2007
Last updated
07/08/2007
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