Individual
CARMEN JEFFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1105 W IRONWOOD DR, COEUR D ALENE, ID 83814
(208) 676-1003
Mailing address
1201 LINCOLN WAY APT 21, COEUR D ALENE, ID 83814-2388
(208) 699-5673
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW38541
ID
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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