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1386919124
DOUGLAS PHILLIP SALADA
MOSCOW, ID
NPI
1386919124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-24829)
Enumeration Date
2012-03-13
Last Update Date
2024-05-17
Business Address
DOUGLAS PHILLIP SALADA LCSW
317 W 6TH ST STE 208
MOSCOW, ID 83843-2387
Phone number: 208-882-3504
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Mailing Address
DOUGLAS PHILLIP SALADA LCSW
530 N MOORE ST
MOSCOW, ID 83843-3254
Phone number: 208-882-3504
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