JONATHON JAMES PINGREE

BOISE, ID
NPI1538383054
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-25979)
Enumeration Date2007-04-13
Last Update Date2007-07-08
Business Address
Mr. JONATHON JAMES PINGREE LCSW
10740 W FAIRVIEW AVE SUITE 100
BOISE, ID 83713-7926
Phone number: 208-376-0191
Mailing Address
Mr. JONATHON JAMES PINGREE LCSW
2080 W DIVIDE CREEK ST
MERIDIAN, ID 83642-3426
Phone number: 208-376-0191
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