JARED VAUGHN BENSON

MERIDIAN, ID
NPI1659517282
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-28699)
Enumeration Date2009-01-03
Last Update Date2009-01-03
Business Address
-- JARED VAUGHN BENSON LCSW
520 S EAGLE RD STE 2104
MERIDIAN, ID 83642-6308
Phone number: 208-706-5549
Mailing Address
-- JARED VAUGHN BENSON LCSW
PO BOX 1100
BOISE, ID 83701-1100
Phone number: 208-489-4626
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