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1255150322
ALEC MICHAEL GEDWILL
CALDWELL, ID
NPI
1255150322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-10-07
Last Update Date
2024-10-07
Business Address
ALEC MICHAEL GEDWILL
524 S 9TH AVE STE 103
CALDWELL, ID 83605-5072
Phone number: 208-454-8555
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Mailing Address
ALEC MICHAEL GEDWILL
1511 W LOWRY ST
MERIDIAN, ID 83646-3128
Phone number: 925-858-8423
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