Individual
LARRY CHRISTIAN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
60 N BROADWAY ST, BLACKFOOT, ID 83221-2706
(208) 782-3535
(208) 782-1389
Mailing address
60 N BROADWAY ST, BLACKFOOT, ID 83221-2706
(208) 782-3535
(208) 782-1389
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-38328
ID
Other
Enumeration date
03/16/2019
Last updated
03/16/2019
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