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Individual

GAMILE YOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC, BA

Contact information

Practice address
605 11TH AVE E, GOODING, ID 83330-5368
(208) 934-8461
(208) 934-5437
Mailing address
605 11TH AVE E, GOODING, ID 83330-5368
(208) 934-8461
(208) 934-5437

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10290000
ID

Other

Enumeration date
05/21/2009
Last updated
05/21/2009
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