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1013639046
MELINDA ELLEN COOK
LEWISTON, ID
NPI
1013639046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID 42658)
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
MELINDA ELLEN COOK LMSW
312 MILLER ST
LEWISTON, ID 83501-1944
Phone number: 208-750-1802
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Mailing Address
MELINDA ELLEN COOK LMSW
312 MILLER ST
LEWISTON, ID 83501-1944
Phone number: 208-750-1802
Copy
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