MALLORY MARIE CARLSON

BOISE, ID
NPI1487154613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-37154)
Enumeration Date2018-02-14
Last Update Date2018-02-14
Business Address
MALLORY MARIE CARLSON
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2616
Mailing Address
MALLORY MARIE CARLSON
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2616
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