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1356100226
DENNIS O. GRAY
LEWISTON, ID
NPI
1356100226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID 11505)
Enumeration Date
2024-03-14
Last Update Date
2024-03-14
Business Address
DENNIS O. GRAY CADC
1020 MAIN ST
LEWISTON, ID 83501-1842
Phone number: 208-750-1000
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Mailing Address
DENNIS O. GRAY CADC
1020 MAIN ST
LEWISTON, ID 83501-1842
Phone number: 208-750-1000
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