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1134634413
SOPHIA TSAI MALMQUIST
MOSCOW, ID
NPI
1134634413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LPC-6370)
Enumeration Date
2017-12-07
Last Update Date
2018-01-02
Business Address
SOPHIA TSAI MALMQUIST LPC
530 S ASBURY ST STE 2
MOSCOW, ID 83843-2243
Phone number: 208-882-2566
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Mailing Address
SOPHIA TSAI MALMQUIST LPC
1035 ALTURAS DR
MOSCOW, ID 83843-6013
Phone number:
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