Jeremy Thorson, B.S

NPI #1104203157 in Nampa, Idaho

Provider Information

NPI Number: 1104203157
Entity Type: Individual
Name: Jeremy Thorson, B.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: B.S
Enumeration Date: Apr 29, 2015
Last Updated: Apr 29, 2015

Practice Location

Address: 456 WEST ORCHARD AVE.
Address 2: APT D305
City: Nampa
State: Idaho
ZIP Code: 83651
Phone: (260) 312-3288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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