Individual
MARLYS ANN BORRESON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
200 N 4TH ST, SUITE 205B, BOISE, ID 83702-6001
(208) 368-7800
Mailing address
200 N 4TH ST, SUITE 205B, BOISE, ID 83702-6001
(208) 368-7800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
113
ID
Other
Enumeration date
04/08/2006
Last updated
07/08/2007
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