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1457184517
MICHAELA WALL
BOISE, ID
NPI
1457184517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-08-23
Last Update Date
2024-08-23
Business Address
MICHAELA WALL
148 S COLE RD
BOISE, ID 83709-0932
Phone number: 208-683-8320
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Mailing Address
MICHAELA WALL
450 W GROVE ST APT 408
BOISE, ID 83702-7282
Phone number: 805-660-3618
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