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1942021589
FULL DISCLOSURE THERAPY
EAGLE, ID
NPI
1942021589
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Entity Type
Organization
Authorized Contact
JULIE M RODIN
Owner
310-570-6897
Organization Subpart ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2024-10-17
Last Update Date
2024-10-17
Business Address
FULL DISCLOSURE THERAPY
172 S ACADEMY AVE STE 150
EAGLE, ID 83616-6564
Phone number: 208-668-2701
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Mailing Address
FULL DISCLOSURE THERAPY
238 S NESKOWIN WAY
EAGLE, ID 83616-4964
Phone number: 310-570-6897
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