Individual
JEREMY GAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6807 CODY ST, BONNERS FERRY, ID 83805-8613
(208) 267-0900
Mailing address
6807 CODY ST, BONNERS FERRY, ID 83805-8613
(208) 267-0900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
About Stedi
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