Carla Jensen PHD

NPI 1023176708 - Social Worker - 1041C0700X

NPI Details
NPI 1023176708
Gender Female
Enumeration Date 12/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4948 KOOTENAI ST
SUITE 207
BOISE ID, 83705-2080, US
Phone (208) 429-8050
Fax (208) 429-8510
Business Location
4948 KOOTENAI ST
SUITE 207
BOISE ID, 83705, US
Phone (208) 429-8050
Fax (208) 429-8510
Toxanomy
Taxonomy Code 1041C0700X
License State Idaho
License Number LCSW-24629
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According to our database, Carla Jensen PHD NPI is 1023176708, taxonomy code is 1041C0700X and license number is LCSW-24629, license state is located at Idaho. Carla Jensen PHD physically located at 4948 Kootenai St, Boise ID, 83705-2080. NPI Number Carla Jensen PHD has the Individual type.

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1023176708 NPI number is provided on an as is basis without warranty of any kind. 1023176708 is maintained by the National Plan & Provider Enumeration System. The contents of Carla Jensen PHD are for informational purposes only.