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1467792036
JESSICA NICKERSON
AMMON, ID
NPI
1467792036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID LCSW-34184)
Enumeration Date
2013-02-19
Last Update Date
2023-06-26
Business Address
JESSICA NICKERSON LCSW
1329 AMMON PARK DR
AMMON, ID 83406-4591
Phone number: 208-534-5554
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Mailing Address
JESSICA NICKERSON LCSW
1329 AMMON PARK DR
AMMON, ID 83406-4591
Phone number: 208-534-5554
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