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1700942745
TIMOTHY MICHAEL CARSON
RIGBY, ID
NPI
1700942745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: ID LMFT-3741)
Enumeration Date
2006-12-27
Last Update Date
2009-02-14
Business Address
TIMOTHY MICHAEL CARSON LMFT
3441 E 200 N
RIGBY, ID 83442-5401
Phone number: 208-754-4607
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Mailing Address
TIMOTHY MICHAEL CARSON LMFT
3441 E 200 N
RIGBY, ID 83442-5401
Phone number: 208-754-4607
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