JONATHAN MARCEL MOSES

RIGBY, ID
NPI1891353199
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-42172)
Enumeration Date2019-05-31
Last Update Date2022-05-10
Business Address
JONATHAN MARCEL MOSES
295 N 3855 E
RIGBY, ID 83442-5124
Phone number: 208-745-5205
Mailing Address
JONATHAN MARCEL MOSES
2275 W BROADWAY ST
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400