JEREMIAH S LEGG

MERIDIAN, ID
NPI1255081683
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ID  LCSW-36137)
Enumeration Date2022-03-28
Last Update Date2022-04-14
Business Address
JEREMIAH S LEGG LCSW
4949 S HILLSDALE AVE
MERIDIAN, ID 83642-7586
Phone number: 208-706-6400
Mailing Address
JEREMIAH S LEGG LCSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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