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1487870804
MARY NELLE WHITENACK
BOISE, ID
NPI
1487870804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID lcpc77)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
-- MARY NELLE WHITENACK LCPC
10798 W OVERLAND RD
BOISE, ID 83709-1329
Phone number: 208-377-3368
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Mailing Address
-- MARY NELLE WHITENACK LCPC
10798 W OVERLAND RD
BOISE, ID 83709-1329
Phone number: 208-377-3368
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