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1235883190
JESSE ALLEN CASE
POCATELLO, ID
NPI
1235883190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW-41772)
Enumeration Date
2022-02-09
Last Update Date
2022-02-09
Business Address
JESSE ALLEN CASE LMSW
1777 E CLARK ST STE 330
POCATELLO, ID 83201-3357
Phone number: 208-478-9081
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Mailing Address
JESSE ALLEN CASE LMSW
1248 E 17TH ST
IDAHO FALLS, ID 83404-6147
Phone number: 208-542-1026
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