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1124526249
MATTHEW HALLOWELL
BOISE, ID
NPI
1124526249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 40551)
Enumeration Date
2018-01-23
Last Update Date
2023-12-29
Business Address
MATTHEW HALLOWELL LCSW
9448 W PORTOLA DR
BOISE, ID 83709-5593
Phone number: 208-614-0054
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Mailing Address
MATTHEW HALLOWELL LCSW
9448 W PORTOLA DR
BOISE, ID 83709-5593
Phone number: 208-614-0054
Copy
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