Individual
MR. JEREMIAH JAMES NEWBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
17342 FLINTWOOD PL, EAGLE RIVER, AK 99577-7025
(907) 696-3339
Mailing address
PO BOX 671846, CHUGIAK, AK 99567-1846
(907) 229-0917
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW S 919
AK
Other
Enumeration date
10/02/2009
Last updated
05/26/2021
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