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1083983514
JEFF RYAN MORENO
NAMPA, ID
NPI
1083983514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-31828)
Enumeration Date
2011-12-29
Last Update Date
2023-07-20
Business Address
Mr. JEFF RYAN MORENO L.C.S.W.
923 16TH AVE S
NAMPA, ID 83651-4731
Phone number: 208-639-1514
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Mailing Address
Mr. JEFF RYAN MORENO L.C.S.W.
923 16TH AVE S
NAMPA, ID 83651-4731
Phone number: 208-639-1514
Copy
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