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1699108647
SARAH COLEEN MALLARD
NAMPA, ID
NPI
1699108647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPC-5300)
Enumeration Date
2013-08-13
Last Update Date
2013-08-13
Business Address
-- SARAH COLEEN MALLARD N.C.C., L.P.C.
112 12TH AVE RD
NAMPA, ID 83686-5011
Phone number: 208-465-5433
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Mailing Address
-- SARAH COLEEN MALLARD N.C.C., L.P.C.
112 12TH AVE RD
NAMPA, ID 83686-5011
Phone number: 208-465-5433
Copy
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