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1811204241
RICHARD STEVEN MATKIN
BOISE, ID
NPI
1811204241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: ID LMFT-3057)
Enumeration Date
2010-09-07
Last Update Date
2010-09-07
Business Address
-- RICHARD STEVEN MATKIN LMFT
1253 N COLE RD
BOISE, ID 83704-8647
Phone number: 208-376-7083
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Mailing Address
-- RICHARD STEVEN MATKIN LMFT
13739 CRISHOLM RD
CALDWELL, ID 83607-8219
Phone number: 208-989-9360
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