JASON CARL JACOBIA

POCATELLO, ID
NPI1467501940
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW27236)
Enumeration Date2007-01-10
Last Update Date2011-07-20
Business Address
-- JASON CARL JACOBIA LCSW
1169 CALL CREEK PLACE SUITE B
POCATELLO, ID 83201-3071
Phone number: 208-232-7780
Mailing Address
-- JASON CARL JACOBIA LCSW
1418 FILLMORE ST
TWIN FALLS, ID 83301-3380
Phone number: 208-735-2237
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