EDWARD MATHEWS

IDAHO FALLS, ID
NPI1861844094
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  ISAS-10328)
Enumeration Date2016-07-12
Last Update Date2016-07-12
Business Address
-- EDWARD MATHEWS ISAS
482 CONSTITUTION WAY SUITE 110
IDAHO FALLS, ID 83402-3565
Phone number: 208-932-4493
Mailing Address
-- EDWARD MATHEWS ISAS
482 CONSTITUTION WAY SUITE 110
IDAHO FALLS, ID 83402-3565
Phone number: 208-932-4493
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