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1346301405
RONALD CLAYTON ELDRIDGE
ALEXANDRIA, VA
NPI
1346301405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0710000855)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
-- RONALD CLAYTON ELDRIDGE CSAC
720 N SAINT ASAPH ST
ALEXANDRIA, VA 22314-1912
Phone number: 703-838-4455
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Mailing Address
-- RONALD CLAYTON ELDRIDGE CSAC
12208 PARKTON CT
FT WASHINGTON, MD 20744-6130
Phone number: 703-838-4455
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