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1376178210
WALTER JAMES MELDRUM
BOISE, ID
NPI
1376178210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID 11733)
Enumeration Date
2020-03-11
Last Update Date
2020-03-11
Business Address
WALTER JAMES MELDRUM CADC, BS, QSUDP
1299 N ORCHARD ST STE 110
BOISE, ID 83706-2266
Phone number: 208-672-3426
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Mailing Address
WALTER JAMES MELDRUM CADC, BS, QSUDP
1682 E TIME ZONE DR
MERIDIAN, ID 83642-4500
Phone number: 208-351-2765
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