CLINTON W. ALDRICH

ST MARIES, ID
NPI1124305347
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  10045)
Enumeration Date2011-11-16
Last Update Date2011-11-16
Business Address
Mr. CLINTON W. ALDRICH CADC
89 HOMER DR
ST MARIES, ID 83861-5078
Phone number: 208-245-5427
Mailing Address
Mr. CLINTON W. ALDRICH CADC
89 HOMER DR
ST MARIES, ID 83861-5078
Phone number: 208-245-5427
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