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1740901875
MATHEW HEINDEL
MERIDIAN, ID
NPI
1740901875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: ID LMFT-3806)
Enumeration Date
2022-09-07
Last Update Date
2022-09-07
Business Address
MATHEW HEINDEL
1820 S. EAGLE ROAD
MERIDIAN, ID 83642
Phone number: 208-855-9301
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Mailing Address
MATHEW HEINDEL
PO BOX 1232
MERIDIAN, ID 83680-1232
Phone number:
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