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1912209545
JUSTIN WADE MCDONALD
JUNEAU, AK
NPI
1912209545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-12-02
Last Update Date
2010-12-02
Business Address
-- JUSTIN WADE MCDONALD CFSW
3245 HOSPITAL DR
JUNEAU, AK 99801-7809
Phone number: 907-463-4040
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Mailing Address
-- JUSTIN WADE MCDONALD CFSW
3245 HOSPITAL DR
JUNEAU, AK 99801-7809
Phone number: 907-463-4040
Copy
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