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1164145926
JENNIFER MIESCH PHD
POCATELLO, ID
NPI
1164145926
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Entity Type
Organization
Authorized Contact
JENNIFER MIESCH
Owner
208-254-1694
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
Enumeration Date
2022-09-26
Last Update Date
2023-06-28
Business Address
JENNIFER MIESCH PHD
231 N 6TH AVE
POCATELLO, ID 83201-6211
Phone number: 208-254-1694
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Mailing Address
JENNIFER MIESCH PHD
231 N 6TH AVE
POCATELLO, ID 83201-6211
Phone number: 208-254-1694
Copy
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