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1316480973
MATTHEW DUANE MILLICAN
NAMPA, ID
NPI
1316480973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-6347)
Enumeration Date
2016-11-29
Last Update Date
2016-11-29
Business Address
Mr. MATTHEW DUANE MILLICAN MA, LPC
123 MCCLURE AVE
NAMPA, ID 83651-2057
Phone number: 208-461-3720
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Mailing Address
Mr. MATTHEW DUANE MILLICAN MA, LPC
1207 SW 2ND AVE
ONTARIO, OR 97914-4512
Phone number:
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