MARK STEVEN DE JONG

BOISE, ID
NPI1770237034
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LMSW-37345)
Enumeration Date2022-02-07
Last Update Date2022-02-07
Business Address
MARK STEVEN DE JONG LMSW
2424 W BANK DR
BOISE, ID 83705-2565
Phone number: 208-342-3612
Mailing Address
MARK STEVEN DE JONG LMSW
5404 ORMSBY AVE
CALDWELL, ID 83607-1905
Phone number:
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