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Organization
ABBADADDY HOUSE, INC
Active
Organization
ABBADADDY HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRNA THATCHER LMFT (PRESIDENT)
(208) 962-7384
Entity
Organization
Contact information
Practice address
109 S MILL ST, GRANGEVILLE, ID 83530-2246
(208) 962-7384
Mailing address
PO BOX 506, COTTONWOOD, ID 83522-0506
(208) 962-7384
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 2654
ID
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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