Individual
MR. JERRY NABARRETE-STUART JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSMW
Contact information
Practice address
6933 W EMERALD ST, BOISE, ID 83704-8616
(208) 321-0634
(208) 321-1082
Mailing address
6933 W EMERALD ST, BOISE, ID 83704-8616
(208) 321-0634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMSW-43688
ID
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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