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1922039262
JONATHAN WELDON GLICK
BOISE, ID
NPI
1922039262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPCP3)
Enumeration Date
2006-07-05
Last Update Date
2007-07-08
Business Address
Mr. JONATHAN WELDON GLICK LPCP
6010 W OVERLAND RD
BOISE, ID 83709-3013
Phone number: 208-377-5720
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Mailing Address
Mr. JONATHAN WELDON GLICK LPCP
2860 E VICTORY RD
MERIDIAN, ID 83642-7051
Phone number:
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