Search › Idaho › 1041C0700X
Mark De Jong, LMSW
NPI 1770237034 · on the registry since 2022
Practice
- Address
- 2424 W Bank Dr
Boise, ID 83705 - Phone
- (208) 342-3612
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho