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1518340298
DAVID MARTIN
BOISE, ID
NPI
1518340298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC 5819)
Enumeration Date
2015-06-30
Last Update Date
2015-06-30
Business Address
-- DAVID MARTIN LPC
2082 S STONYFIELD PL
BOISE, ID 83709-5508
Phone number: 208-371-7226
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Mailing Address
-- DAVID MARTIN LPC
2082 S STONYFIELD PL
BOISE, ID 83709-5508
Phone number: 208-371-7226
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