Idaho
Division of Occupational and Professional Licenses
JASON SOUTHWICK Ph.D.
Idaho Board Of Psychologist Examiners - Psychologist
License number
PSY - 202728
Date granted
07/11/2013
Date expires
04/22/2017
Class
Idaho Board Of Psychologist Examiners - Psychologist
Status
Current
Address
MERIDIAN ID 83642
idaholicensing.com
ID 19689367
LAST UPDATED 2024-04-29 21:34:46 UTC
LAST UPDATED 2024-04-29 21:34:46 UTC
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