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1578133138
CARMELLA MCGINNIS
COEUR D ALENE, ID
NPI
1578133138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-06-28
Last Update Date
2021-06-28
Business Address
CARMELLA MCGINNIS SAD
2205 N IRONWOOD PL
COEUR D ALENE, ID 83814-2487
Phone number: 208-664-8347
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Mailing Address
CARMELLA MCGINNIS SAD
PO BOX 1387
HAYDEN, ID 83835-1387
Phone number: 208-415-0299
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