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JONATHAN THACKER

Clinical Social Worker

NPI: 1629841952Individual

Specialties, Licenses & Credentials

Social Worker — Clinical

Code: 1041C0700X

LMSW-44232(ID)
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Contact & Hours

Address
75 S 1ST W
PRESTON, ID 83263

Quick Facts

NPI
1629841952
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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