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1053189365
AUSTIN DIDRICKSON
EAGLE RIVER, AK
NPI
1053189365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-12-15
Last Update Date
2023-12-15
Business Address
AUSTIN DIDRICKSON
8012 STEWART MOUNTAIN DR
EAGLE RIVER, AK 99577-9013
Phone number: 907-694-3336
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Mailing Address
AUSTIN DIDRICKSON
2600 CORDOVA ST STE 101
ANCHORAGE, AK 99503-2745
Phone number: 907-279-9640
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