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1487154613
MALLORY MARIE CARLSON
BOISE, ID
NPI
1487154613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-37154)
Enumeration Date
2018-02-14
Last Update Date
2018-02-14
Business Address
MALLORY MARIE CARLSON
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2616
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Mailing Address
MALLORY MARIE CARLSON
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2616
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