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1841939089
JOSHUA WILDING
EAGLE, ID
NPI
1841939089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID 10123)
Enumeration Date
2022-06-03
Last Update Date
2022-06-03
Business Address
JOSHUA WILDING CADC
5732 W DURNING DR
EAGLE, ID 83616-6238
Phone number: 208-599-4245
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Mailing Address
JOSHUA WILDING CADC
5732 W DURNING DR
EAGLE, ID 83616-6238
Phone number: 208-599-4245
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