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1447875059
JOHN DAVID HATTAWAY
SALMON, ID
NPI
1447875059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ID LPC-2798)
Enumeration Date
2020-06-09
Last Update Date
2020-06-09
Business Address
JOHN DAVID HATTAWAY LPC
1301 MAIN ST STE 3B
SALMON, ID 83467-4452
Phone number: 208-756-2927
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Mailing Address
JOHN DAVID HATTAWAY LPC
1380 BENTON ST
IDAHO FALLS, ID 83401-4254
Phone number: 208-523-2490
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