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1437744885
MARY L. MUCKELROY
MERIDIAN, ID
NPI
1437744885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW-40118)
Enumeration Date
2021-03-08
Last Update Date
2021-03-08
Business Address
MARY L. MUCKELROY LMSW
2825 S MERIDIAN RD # 150
MERIDIAN, ID 83642-7960
Phone number: 208-297-9495
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Mailing Address
MARY L. MUCKELROY LMSW
413 MANGO DR
EAGLE, ID 83616-5123
Phone number: 972-822-0440
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