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1114203031
CHESTER C MARDIS
TWIN FALLS, ID
NPI
1114203031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC4840)
Enumeration Date
2011-10-24
Last Update Date
2015-01-12
Business Address
-- CHESTER C MARDIS LPC/NCC
493 EASTLAND DR.
TWIN FALLS, ID 83301
Phone number: 208-732-0995
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Mailing Address
-- CHESTER C MARDIS LPC/NCC
P.O. BOX 47
TWIN FALLS, ID 83303
Phone number: 208-732-0995
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