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1225499189
TED WARSTADT
COEUR D ALENE, ID
NPI
1225499189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-03-18
Last Update Date
2016-03-18
Business Address
-- TED WARSTADT
2195 IRONWOOD CT
COEUR D ALENE, ID 83814-2628
Phone number: 208-769-1406
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Mailing Address
-- TED WARSTADT
2195 IRONWOOD CT
COEUR D ALENE, ID 83814-2628
Phone number: 208-769-1406
Copy
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