MIRA LEE NIELSON

IDAHO FALLS, ID
NPI1447956966
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  COUI-9323)
Enumeration Date2023-02-06
Last Update Date2023-02-06
Business Address
MIRA LEE NIELSON
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
Mailing Address
MIRA LEE NIELSON
635 LINCOLN DR
IDAHO FALLS, ID 83401-4156
Phone number: 530-566-4117
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