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1184944209
MELISSA CAROL DURHAM
BOISE, ID
NPI
1184944209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID 4308)
Enumeration Date
2010-06-11
Last Update Date
2010-06-11
Business Address
Ms. MELISSA CAROL DURHAM M.S., L.P.C.
1276 W RIVER ST STE 100
BOISE, ID 83702-7083
Phone number: 208-338-4699
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Mailing Address
Ms. MELISSA CAROL DURHAM M.S., L.P.C.
4636 N HACIENDA AVE
BOISE, ID 83703-6425
Phone number: 208-230-1787
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