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1811046394
JARED M NEAL
POCATELLO, ID
NPI
1811046394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-26747)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
-- JARED M NEAL LCSW
1169 CALL CREEK PLACE SUITE B
POCATELLO, ID 83201-3071
Phone number: 208-232-7780
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Mailing Address
-- JARED M NEAL LCSW
1169 CALL CREEK PLACE SUITE B
POCATELLO, ID 83201-3071
Phone number: 208-232-7780
Copy
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