Individual
MR. JONATHAN RILEY MURDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1810 W BROADWAY ST, IDAHO FALLS, ID 83402-5072
(208) 538-3122
Mailing address
1846 1ST ST # 1011, IDAHO FALLS, ID 83401-4415
(208) 254-1882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-44539
ID
Other
Enumeration date
03/10/2011
Last updated
07/16/2024
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