Individual
JENNY CROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, RPT
Contact information
Practice address
2995 N COLE RD, SUITE 270, BOISE, ID 83704
(208) 576-6464
(208) 392-1378
Mailing address
2995 N COLE RD, SUITE 270, BOISE, ID 83704
(208) 576-6464
(208) 392-1378
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
41682
ID
104100000X
Social Worker
LMSW38297
ID
Other
Enumeration date
01/24/2019
Last updated
12/18/2024
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