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1235848151
KENDALL JEAN MOHLENBRINK
BOISE, ID
NPI
1235848151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2022-11-18
Last Update Date
2022-11-18
Business Address
KENDALL JEAN MOHLENBRINK LMSW
6051 S TULIP PL
BOISE, ID 83716-7020
Phone number: 208-490-7442
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Mailing Address
KENDALL JEAN MOHLENBRINK LMSW
6051 S TULIP PL
BOISE, ID 83716-7020
Phone number: 208-490-7442
Copy
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