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1215328505
MATT HARDIN
POCATELLO, ID
NPI
1215328505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-5771)
Enumeration Date
2015-02-09
Last Update Date
2015-02-09
Business Address
-- MATT HARDIN LPC
224 S ARTHUR AVE SUITE 2
POCATELLO, ID 83204-3202
Phone number: 208-242-3771
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Mailing Address
-- MATT HARDIN LPC
224 S ARTHUR AVE SUITE 2
POCATELLO, ID 83204-3202
Phone number: 208-242-3771
Copy
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