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1578732293
MELISSA A BOLEY
KETCHUM, ID
NPI
1578732293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: ID LPCP233)
Enumeration Date
2008-02-27
Last Update Date
2008-02-27
Business Address
-- MELISSA A BOLEY LPCP
333 SOUTH MAIN ST STE 104
KETCHUM, ID 83340
Phone number: 208-726-7584
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Mailing Address
-- MELISSA A BOLEY LPCP
PO BOX 5865
KETCHUM, ID 83340-5865
Phone number: 208-726-7584
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