MARY NELLE WHITENACK

BOISE, ID
NPI1487870804
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: ID  lcpc77)
Enumeration Date2007-04-17
Last Update Date2007-07-08
Business Address
-- MARY NELLE WHITENACK LCPC
10798 W OVERLAND RD
BOISE, ID 83709-1329
Phone number: 208-377-3368
Mailing Address
-- MARY NELLE WHITENACK LCPC
10798 W OVERLAND RD
BOISE, ID 83709-1329
Phone number: 208-377-3368
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