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Individual

KELLY MITTEN MOELLMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
805 N ARTHUR AVE, POCATELLO, ID 83204-2803
(208) 760-2144
Mailing address
5789 S 5TH AVE APT D, POCATELLO, ID 83204-2349
(208) 760-2144

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ID

Other

Enumeration date
01/26/2026
Last updated
01/26/2026
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