Jonathan Marcel Moses

NPI #1891353199 in Rigby, Idaho

Provider Information

NPI Number: 1891353199
Entity Type: Individual
Name: Jonathan Marcel Moses
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 31, 2019
Last Updated: May 10, 2022

Practice Location

Address: 295 N 3855 E
City: Rigby
State: Idaho
ZIP Code: 83442-5124
Phone: (208) 745-5205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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