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MACK B. STEPHENSON, PH.D., CHTD.

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Company Details

Name: MACK B. STEPHENSON, PH.D., CHTD.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 30 Jan 2002 (23 years ago)
Financial Date End: 31 Jan 2010
Date dissolved: 06 Apr 2010
Entity Number: 433905
Place of Formation: IDAHO
File Number: 0000433905
ZIP code: 83646
County: Ada County
Mailing Address: 4082 N. TIPTON AVE. MERIDIAN, ID 83646

National Provider Identifier

NPI Number:
1093860561

Authorized Person:

Name:
MACK B. STEPHENSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Fax:
2082880467

Filing

Filing Name Filing Number Filing date
Annual Report 0002845832 2009-02-12
Annual Report 0002845833 2007-12-03
Annual Report 0002845831 2006-11-09
Annual Report 0002845830 2005-11-23
Annual Report 0002845829 2005-01-12

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State