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Individual

MACY DIMLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
118 N 7TH ST STE A13, COEUR D ALENE, ID 83814-2767
(208) 254-6950
Mailing address
14442 N ROTH CT, RATHDRUM, ID 83858-6994
(701) 337-6373

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8331312
ID

Other

Enumeration date
04/29/2020
Last updated
07/28/2025
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