Individual
PAMELA KAY BRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1672 S WOODSAGE AVE, MERIDIAN, ID 83642-8329
(208) 515-2273
Mailing address
8463 WILLOWDALE DR, BOISE, ID 83714-1687
(303) 525-4364
(208) 515-2274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002443
MO
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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