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1982838694
MICHAEL ARIK MARISKA
POCATELLO, ID
NPI
1982838694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC - 4340)
Enumeration Date
2009-05-08
Last Update Date
2009-05-08
Business Address
Mr. MICHAEL ARIK MARISKA N.C.C., L.P.C.
500 S 11TH AVE
POCATELLO, ID 83201-4835
Phone number: 203-671-7667
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Mailing Address
Mr. MICHAEL ARIK MARISKA N.C.C., L.P.C.
479 RAVEN WAY APT A
CHUBBUCK, ID 83202-1958
Phone number: 203-671-7667
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