MACK B. STEPHENSON

MERIDIAN, ID
NPI1467676254
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: ID  PSY-202056)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
-- MACK B. STEPHENSON Ph.D.
78 SW 5TH AVE SUITE 2
MERIDIAN, ID 83642-2923
Phone number: 208-288-0692
Mailing Address
-- MACK B. STEPHENSON Ph.D.
78 SW 5TH AVE SUITE 2
MERIDIAN, ID 83642-2923
Phone number: 208-288-0692
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