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1104651462
MELISSA MADELYN WILSON
REXBURG, ID
NPI
1104651462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: ID LMFT-8639)
Enumeration Date
2024-09-05
Last Update Date
2024-09-05
Business Address
MELISSA MADELYN WILSON
591 N 2ND E
REXBURG, ID 83440-3566
Phone number: 208-356-6975
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Mailing Address
MELISSA MADELYN WILSON
140 ALTA NORTH RD
ALTA, WY 83414-4576
Phone number:
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