MATTHEW THOMAS GOSLINE

BOISE, ID
NPI1255570776
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ID  LCSW-31428)
Enumeration Date2009-02-05
Last Update Date2011-06-20
Business Address
MATTHEW THOMAS GOSLINE LCSW
411 N ALLUMBAUGH ST
BOISE, ID 83704-9210
Phone number: 208-336-4504
Mailing Address
MATTHEW THOMAS GOSLINE LCSW
411 N ALLUMBAUGH ST
BOISE, ID 83704-9210
Phone number: 208-336-4504
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