TED WARSTADT

COEUR D ALENE, ID
NPI1225499189
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2016-03-18
Last Update Date2016-03-18
Business Address
TED WARSTADT
2195 IRONWOOD CT
COEUR D ALENE, ID 83814-2628
Phone number: 208-769-1406
Mailing Address
TED WARSTADT
2195 IRONWOOD CT
COEUR D ALENE, ID 83814-2628
Phone number: 208-769-1406
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