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1154694792
BROM GLIDDEN
SANDPOINT, ID
NPI
1154694792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LCP-4881)
Enumeration Date
2012-02-13
Last Update Date
2012-02-13
Business Address
BROM GLIDDEN M.A.
534 N CENTER VALLEY RD
SANDPOINT, ID 83864-7148
Phone number: 208-597-0994
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Mailing Address
BROM GLIDDEN M.A.
534 N CENTER VALLEY RD
SANDPOINT, ID 83864-7148
Phone number: 208-597-0994
Copy
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