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1790010155
JEREMIAH JAMES NEWBOLD
EAGLE RIVER, AK
NPI
1790010155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AK CSW S 919)
Enumeration Date
2009-10-02
Last Update Date
2021-05-26
Business Address
Mr. JEREMIAH JAMES NEWBOLD LCSW
17342 FLINTWOOD PL
EAGLE RIVER, AK 99577-7025
Phone number: 907-696-3339
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Mailing Address
Mr. JEREMIAH JAMES NEWBOLD LCSW
PO BOX 671846
CHUGIAK, AK 99567-1846
Phone number: 907-229-0917
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