Individual
MALLORY NEHLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
202 E ANTON AVE STE 206, COEUR D ALENE, ID 83815-3779
(208) 667-6095
Mailing address
202 E ANTON AVE STE 206, COEUR D ALENE, ID 83815-3779
(208) 667-6095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-31712
ID
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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