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Individual

MR. JARED JOCKUMSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
809 N ARTHUR AVE, POCATELLO, ID 83204-2803
(208) 233-4634
(208) 233-4635
Mailing address
809 N ARTHUR AVE, POCATELLO, ID 83204-2803
(208) 233-4634
(208) 233-4635

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
32377
ID

Other

Enumeration date
09/19/2014
Last updated
09/19/2014
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