Individual
MR. JASON L PEEBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1536 MIDWAY AVE., AMMON, ID 83406-8305
(208) 403-0135
Mailing address
1536 MIDWAY AVE., AMMON, ID 83406-8305
(208) 403-0135
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-32946
ID
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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