Individual
MR. JOHN MARLIN POARCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1270
Mailing address
4863 S GREENACRES WAY, BOISE, ID 83709-5276
(208) 866-8927
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-25222
ID
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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