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1871925834
MALLORIE ELY
SANDPOINT, ID
NPI
1871925834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LCSW35962)
Enumeration Date
2013-08-01
Last Update Date
2023-08-08
Business Address
MALLORIE ELY LCSW
1009 HIGHWAY 2 STE D
SANDPOINT, ID 83864-2713
Phone number: 208-610-0996
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Mailing Address
MALLORIE ELY LCSW
PO BOX 484
KOOTENAI, ID 83840-0484
Phone number: 208-610-0996
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