STAN M JASPER

BOISE, ID
NPI1851302582
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  lcsw-59)
Enumeration Date2006-08-10
Last Update Date2007-07-08
Business Address
Mr. STAN M JASPER lcsw
500 WEST FORT STREET
BOISE, ID 83702
Phone number: 208-422-1108
Mailing Address
Mr. STAN M JASPER lcsw
1262 E HOLLY ST
BOISE, ID 83712-8352
Phone number: 208-385-9209
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