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1770072522
MATTHEW JORDAN KEZELE
TWIN FALLS, ID
NPI
1770072522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-6881)
Enumeration Date
2018-05-08
Last Update Date
2018-05-08
Business Address
MATTHEW JORDAN KEZELE LPC
1363 FILLMORE ST STE B
TWIN FALLS, ID 83301-3392
Phone number: 208-734-3670
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Mailing Address
MATTHEW JORDAN KEZELE LPC
1363 FILLMORE ST STE B
TWIN FALLS, ID 83301-3392
Phone number:
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