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1821540246
MARISELA CASTILLO
MERIDIAN, ID
NPI
1821540246
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Former Name
MARISELA CASTILLO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPC 6291)
Enumeration Date
2016-11-02
Last Update Date
2022-11-30
Business Address
MARISELA CASTILLO LCPC, LPC
4311 W BALANCE ROCK DR
MERIDIAN, ID 83642-5411
Phone number: 208-703-1995
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Mailing Address
MARISELA CASTILLO LCPC, LPC
4311 W BALANCE ROCK DR
MERIDIAN, ID 83642-5411
Phone number: 208-703-1995
Copy
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