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1578859146
JEREMY J STOCKETT
NAMPA, ID
NPI
1578859146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-30969)
Enumeration Date
2011-06-22
Last Update Date
2011-06-22
Business Address
-- JEREMY J STOCKETT LCSW
915 PARKCENTRE WAY STE 7
NAMPA, ID 83651-1748
Phone number: 208-442-7791
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Mailing Address
-- JEREMY J STOCKETT LCSW
915 PARKCENTRE WAY STE 7
NAMPA, ID 83651-1748
Phone number: 208-442-7791
Copy
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