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1255570776
MATTHEW THOMAS GOSLINE
BOISE, ID
NPI
1255570776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-31428)
Enumeration Date
2009-02-05
Last Update Date
2011-06-20
Business Address
-- MATTHEW THOMAS GOSLINE LCSW
411 N ALLUMBAUGH ST
BOISE, ID 83704-9210
Phone number: 208-336-4504
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Mailing Address
-- MATTHEW THOMAS GOSLINE LCSW
411 N ALLUMBAUGH ST
BOISE, ID 83704-9210
Phone number: 208-336-4504
Copy
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