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1710623418
FABIOLA MENDEZ
MERIDIAN, ID
NPI
1710623418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID LMSW-40876)
Enumeration Date
2022-05-06
Last Update Date
2022-05-06
Business Address
FABIOLA MENDEZ
2463 E GALA ST STE 100
MERIDIAN, ID 83642-5210
Phone number: 208-955-7333
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Mailing Address
FABIOLA MENDEZ
1206 N LILLY AVE APT 101
BOISE, ID 83713-5402
Phone number: 208-901-9075
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