Individual
JAYSA MARIE PILANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2420 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647-3146
(208) 580-9525
Mailing address
2420 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647-3146
(208) 580-9525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
ID
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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