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1295983443
PHYLLIS ROSE NODLER
MERIDIAN, ID
NPI
1295983443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-2984)
Enumeration Date
2008-08-29
Last Update Date
2011-02-24
Business Address
Ms. PHYLLIS ROSE NODLER LCPC
3709 N LOCUST GROVE RD STE 150
MERIDIAN, ID 83646-5924
Phone number: 208-577-7634
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Mailing Address
Ms. PHYLLIS ROSE NODLER LCPC
3709 N LOCUST GROVE RD STE 150
MERIDIAN, ID 83646-5924
Phone number: 208-577-7634
Copy
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