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1467136523
STARLIGHT PSYCHOLOGICAL SERVICES PLLC
IDAHO FALLS, ID
NPI
1467136523
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Entity Type
Organization
Authorized Contact
ASHLEY WASILEWSKI
Owner
347-515-5039
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
STARLIGHT PSYCHOLOGICAL SERVICES PLLC
101 S PARK AVE
IDAHO FALLS, ID 83402-3627
Phone number: 208-715-7551
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Mailing Address
STARLIGHT PSYCHOLOGICAL SERVICES PLLC
3000 OLD CASTLE LN
IDAHO FALLS, ID 83404-7346
Phone number: 347-515-5039
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