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1366905416
ASPEN GROVE FAMILY THERAPY, INC
TWIN FALLS, ID
NPI
1366905416
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Entity Type
Organization
Authorized Contact
MICHAEL ROBERT WHITEHEAD
Owner
509-392-1874
Organization Subpart ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2019-04-07
Last Update Date
2020-11-23
Business Address
ASPEN GROVE FAMILY THERAPY, INC
213 3RD AVE E
TWIN FALLS, ID 83301-6252
Phone number: 509-392-1874
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Mailing Address
ASPEN GROVE FAMILY THERAPY, INC
213 3RD AVE E
TWIN FALLS, ID 83301-6252
Phone number: 509-392-1874
Copy
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