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1174954804
MONIKA MIKKELSEN
MERIDIAN, ID
NPI
1174954804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW-31791)
Enumeration Date
2013-12-05
Last Update Date
2013-12-05
Business Address
-- MONIKA MIKKELSEN
205 E WATERTOWER ST
MERIDIAN, ID 83642-6282
Phone number: 208-914-2230
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Mailing Address
-- MONIKA MIKKELSEN
99 N CANYON ST
NAMPA, ID 83651
Phone number:
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