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1407053812
BRANDI MICHELLE MERRILL
POCATELLO, ID
NPI
1407053812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-37508)
Enumeration Date
2007-06-29
Last Update Date
2024-02-14
Business Address
Mrs. BRANDI MICHELLE MERRILL LCSW
200 S MAIN ST STE P3
POCATELLO, ID 83204-3261
Phone number: 208-406-9107
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Mailing Address
Mrs. BRANDI MICHELLE MERRILL LCSW
200 S MAIN ST STE P3
POCATELLO, ID 83204-3261
Phone number: 208-406-9107
Copy
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