MACK B. STEPHENSON, PH.D., CHTD

MERIDIAN, ID
NPI1093860561
Entity TypeOrganization
Authorized ContactMACK B. STEPHENSON
President
208-288-0692
Organization Subpart ?No
Primary Taxonomy103T00000X Psychologist
(Licence: ID  PSY-202056)
Enumeration Date2007-01-24
Last Update Date2020-08-22
Business Address
MACK B. STEPHENSON, PH.D., CHTD
78 SW 5TH AVE SUITE 2
MERIDIAN, ID 83642-2923
Phone number: 208-288-0692
Mailing Address
MACK B. STEPHENSON, PH.D., CHTD
78 SW 5TH AVE SUITE 2
MERIDIAN, ID 83642-2923
Phone number: 208-288-0692
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