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