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1710638556
MIKAYLA A ALEXIS
GARDEN VALLEY, ID
NPI
1710638556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-01-13
Last Update Date
2023-09-22
Business Address
MRS. MIKAYLA A ALEXIS
25 MIRACLE LN
GARDEN VALLEY, ID 83622
Phone number: 208-462-0077
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Mailing Address
MRS. MIKAYLA A ALEXIS
25 MIRACLE LN
GARDEN VALLEY, ID 83622
Phone number: 208-462-0077
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