JACK MERVIN

SANDPOINT, ID
NPI1760033021
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LMSW-39059)
Enumeration Date2019-09-26
Last Update Date2020-01-22
Business Address
JACK MERVIN
506 N 4TH AVE
SANDPOINT, ID 83864-1513
Phone number: 208-263-5393
Mailing Address
JACK MERVIN
506 N 4TH AVE
SANDPOINT, ID 83864-1513
Phone number: 208-263-5393
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