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1902946221
MARK JONES
LEWISTON, ID
NPI
1902946221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-1120)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
-- MARK JONES LCSW
1020 MAIN ST
LEWISTON, ID 83501-1842
Phone number: 208-743-8101
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Mailing Address
-- MARK JONES LCSW
1020 MAIN ST P.O. BOX 1123
LEWISTON, ID 83501-1842
Phone number: 208-743-8101
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