MATTHEW LARSON

NAMPA, ID
NPI1982941027
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW--33509)
Enumeration Date2013-01-09
Last Update Date2015-12-10
Business Address
Mr. MATTHEW LARSON LCSW
16 12TH AVE S SUITE 201
NAMPA, ID 83651-3936
Phone number: 208-489-6866
Mailing Address
Mr. MATTHEW LARSON LCSW
1550N CRESTMONT DR A
MERIDIAN, ID 83642-2177
Phone number: 208-288-4200
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