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1225814718
MALISSA M MCCULLOCH
NAMPA, ID
NPI
1225814718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID 9731)
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
MALISSA M MCCULLOCH LPC
220 10TH AVE S
NAMPA, ID 83651-3832
Phone number: 208-468-0850
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Mailing Address
MALISSA M MCCULLOCH LPC
220 10TH AVE S
NAMPA, ID 83651-3832
Phone number: 208-468-0850
Copy
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