JEREMY WAYNE IRVIN

BOISE, ID
NPI1245684927
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-36060)
Enumeration Date2016-04-19
Last Update Date2021-12-10
Business Address
Mr. JEREMY WAYNE IRVIN LCSW, MEd
6003 W OVERLAND RD STE 105
BOISE, ID 83709-3075
Phone number: 208-417-8428
Mailing Address
Mr. JEREMY WAYNE IRVIN LCSW, MEd
3278 E RENWICK ST
MERIDIAN, ID 83642-6467
Phone number: 208-417-8428
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