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1457020794
LOUIS ALEXANDER MASSOTH
NAMPA, ID
NPI
1457020794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID 1160)
Enumeration Date
2021-09-09
Last Update Date
2021-09-09
Business Address
LOUIS ALEXANDER MASSOTH LCSW
5700 E FRANKLIN RD STE 220I
NAMPA, ID 83687-5065
Phone number: 208-889-8060
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Mailing Address
LOUIS ALEXANDER MASSOTH LCSW
5700 E FRANKLIN RD STE 220I
NAMPA, ID 83687-5065
Phone number: 208-889-8060
Copy
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