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1740615228
JAMES CARROLL
COEUR D ALENE, ID
NPI
1740615228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR jc22712)
Enumeration Date
2013-09-04
Last Update Date
2013-09-04
Business Address
Mr. JAMES CARROLL
218 N 23RD ST
COEUR D ALENE, ID 83814-5411
Phone number: 208-664-3300
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Mailing Address
Mr. JAMES CARROLL
218 N 23RD STREET
COEUR D' ALENE, ID 83814
Phone number: 208-664-3300
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