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Individual

ALYSE CULPEPPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1025 E RADIANT RIDGE DR, MERIDIAN, ID 83642-4013
(208) 994-4620
Mailing address
1025 E RADIANT RIDGE DR, MERIDIAN, ID 83642-4013

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
133747
CA
106H00000X
Marriage & Family Therapist
Primary
9187
ID

Other

Enumeration date
11/30/2022
Last updated
11/30/2022
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