Individual
MATTHEW MAYOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
762 FALLS AVE, TWIN FALLS, ID 83301-3316
(208) 258-7681
(208) 907-0874
Mailing address
762 FALLS AVE, TWIN FALLS, ID 83301-3316
(208) 258-7681
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTI-10181
ID
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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