BROM GLIDDEN

SANDPOINT, ID
NPI1154694792
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCP-4881)
Enumeration Date2012-02-13
Last Update Date2012-02-13
Business Address
-- BROM GLIDDEN M.A.
534 N CENTER VALLEY RD
SANDPOINT, ID 83864-7148
Phone number: 208-597-0994
Mailing Address
-- BROM GLIDDEN M.A.
534 N CENTER VALLEY RD
SANDPOINT, ID 83864-7148
Phone number: 208-597-0994
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