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1992258149
CHRISTOPHER JARED WHITE
POCATELLO, ID
NPI
1992258149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-35850)
Enumeration Date
2016-07-24
Last Update Date
2018-08-17
Business Address
Mr. CHRISTOPHER JARED WHITE LMSW
300 N 7TH AVE
POCATELLO, ID 83201
Phone number: 208-904-1950
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Mailing Address
Mr. CHRISTOPHER JARED WHITE LMSW
19B MOUNTAIN DR
POCATELLO, ID 83204-4724
Phone number:
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