Jack Mervin

NPI #1760033021 in Sandpoint, Idaho

Provider Information

NPI Number
1760033021
Entity Type
Individual
Name
Jack Mervin
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Enumeration Date
Sep 26, 2019
Last Updated
Jan 22, 2020

Practice Location

Address
506 N 4TH AVE
State
Idaho
ZIP Code
83864-1513
Phone
(208) 263-5393

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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