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1215055868
ELIZABETH MATHES
COEUR D ALENE, ID
NPI
1215055868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID lcpc 200)
Enumeration Date
2007-03-26
Last Update Date
2007-07-09
Business Address
-- ELIZABETH MATHES
118 N 7TH ST STE C4
COEUR D ALENE, ID 83814-2736
Phone number: 208-676-8884
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Mailing Address
-- ELIZABETH MATHES
1006 E LAKESIDE AVE
COEUR D ALENE, ID 83814-4137
Phone number:
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