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1629698170
MEKAYLA BISHOP
SUGAR CITY, ID
NPI
1629698170
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Former Name
MEKAYLA GIBSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-38878)
Enumeration Date
2020-04-24
Last Update Date
2020-04-24
Business Address
MEKAYLA BISHOP LMSW
1223 S RAILROAD AVE
SUGAR CITY, ID 83448-5072
Phone number: 208-359-0519
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Mailing Address
MEKAYLA BISHOP LMSW
PO BOX 4789
POCATELLO, ID 83205-4789
Phone number: 208-244-6437
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