Individual
MOLLY SEAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
323 S LAUREL ST, BOISE, ID 83705-1124
(208) 440-1667
Mailing address
323 S LAUREL ST, BOISE, ID 83705-1124
(208) 440-1667
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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