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1164615464
TANYA GOODRICH
MERIDIAN, ID
NPI
1164615464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LMFT-7452)
Enumeration Date
2007-08-21
Last Update Date
2023-09-11
Business Address
TANYA GOODRICH M.A.
1047 S WELLS ST
MERIDIAN, ID 83642-7997
Phone number: 208-863-0045
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Mailing Address
TANYA GOODRICH M.A.
1047 S WELLS ST
MERIDIAN, ID 83642-7997
Phone number: 208-863-0045
Copy
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