Individual
KENDALL JEAN MOHLENBRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6051 S TULIP PL, BOISE, ID 83716-7020
(208) 490-7442
Mailing address
6051 S TULIP PL, BOISE, ID 83716-7020
(208) 490-7442
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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