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Individual

ALFREDO MEJIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
7285 W FRANKLIN RD, BOISE, ID 83709-0926
(208) 853-5095
Mailing address
7285 W FRANKLIN RD, BOISE, ID 83709-0926

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/07/2020
Last updated
09/07/2020
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