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1386461739
KODY K ALDRICH
REXBURG, ID
NPI
1386461739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID 3561677)
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
KODY K ALDRICH LPC
242 E 7TH N STE 4
REXBURG, ID 83440-3550
Phone number: 208-359-9683
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Mailing Address
KODY K ALDRICH LPC
953 E MOODY RD
SUGAR CITY, ID 83448-5055
Phone number: 208-573-7300
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