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1710713441
MATHEW J GOSSARD
MERIDIAN, ID
NPI
1710713441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID 6261171)
Enumeration Date
2024-09-10
Last Update Date
2024-09-10
Business Address
MATHEW J GOSSARD LMSW
2000 S EAGLE RD
MERIDIAN, ID 83642-6707
Phone number: 801-746-9373
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Mailing Address
MATHEW J GOSSARD LMSW
2763 N CAMDEN PL
BOISE, ID 83704-5772
Phone number: 208-861-5704
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