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1477288181
MATTHEW ROY
BOISE, ID
NPI
1477288181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-8227)
Enumeration Date
2022-07-18
Last Update Date
2022-07-18
Business Address
MATTHEW ROY
305 N 17TH ST APT 203
BOISE, ID 83702-5150
Phone number: 337-414-9954
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Mailing Address
MATTHEW ROY
305 N 17TH ST APT 203
BOISE, ID 83702-5150
Phone number: 337-414-9954
Copy
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