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1649317041
MARK JIMERSON
SAN JUAN, PR
NPI
1649317041
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Professional Name
MARK JIMERSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 1030600)
Enumeration Date
2007-02-01
Last Update Date
2018-08-13
Business Address
MARK JIMERSON LICSW
954 AVE PONCE DE LEON STE 405C
SAN JUAN, PR 00907
Phone number: 413-636-5691
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Mailing Address
MARK JIMERSON LICSW
PO BOX 79872
CAROLINA, PR 00984-9872
Phone number: 413-636-5691
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