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1780455097
ALYSSA MARIAN COOK
NAMPA, ID
NPI
1780455097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LPC-10124)
Enumeration Date
2024-01-15
Last Update Date
2024-04-02
Business Address
ALYSSA MARIAN COOK MS
1014 W HEMINGWAY BLVD
NAMPA, ID 83651-1733
Phone number: 208-991-4262
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Mailing Address
ALYSSA MARIAN COOK MS
10135 IRONGATE DR
NAMPA, ID 83687-7920
Phone number: 208-509-3773
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