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1710111638
MIKAYLA FORREST
NAMPA, ID
NPI
1710111638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID 5388)
Enumeration Date
2009-05-06
Last Update Date
2014-05-16
Business Address
-- MIKAYLA FORREST LCPC
1015 CALDWELL BLVD
NAMPA, ID 83651-1717
Phone number: 208-353-4173
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Mailing Address
-- MIKAYLA FORREST LCPC
712 9TH AVE S
NAMPA, ID 83651-4540
Phone number: 208-353-4173
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