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1609984210
SALLY MCCOLLUM
KETCHUM, ID
NPI
1609984210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: ID PSY 237)
Enumeration Date
2006-08-25
Last Update Date
2015-01-14
Business Address
-- SALLY MCCOLLUM PhD
171 W. 1ST ST #1
KETCHUM, ID 83340-6078
Phone number: 208-726-8926
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Mailing Address
-- SALLY MCCOLLUM PhD
PO BOX 6078
KETCHUM, ID 83340-6078
Phone number: 208-726-8926
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