MARDI STACY

BOISE, ID
NPI1417025974
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: ID  PSY-429)
Enumeration Date2006-12-01
Last Update Date2007-07-08
Business Address
DR. MARDI STACY PH.D.
1718 W JEFFERSON ST
BOISE, ID 83702-3949
Phone number: 208-424-8130
Mailing Address
DR. MARDI STACY PH.D.
1718 W JEFFERSON ST
BOISE, ID 83702-3949
Phone number: 208-424-8130
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