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1912734195
MOLLIE WHITE
POCATELLO, ID
NPI
1912734195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: ID 1461876)
Enumeration Date
2024-09-19
Last Update Date
2024-09-19
Business Address
MOLLIE WHITE
500 S 11TH AVE STE 204
POCATELLO, ID 83201-4878
Phone number: 208-232-7862
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Mailing Address
MOLLIE WHITE
500 S 11TH AVE STE 400
POCATELLO, ID 83201-4880
Phone number: 208-232-7862
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