MARY KELLEEN BERMENSOLO

BOISE, ID
NPI1659420693
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW492)
Enumeration Date2007-01-09
Last Update Date2019-01-16
Business Address
MARY KELLEEN BERMENSOLO LCSW
410 S ORCHARD ST STE 132
BOISE, ID 83705-1288
Phone number: 208-412-6683
Mailing Address
MARY KELLEEN BERMENSOLO LCSW
410 S ORCHARD ST STE 132
BOISE, ID 83705-1288
Phone number: 208-412-6683
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