Individual
MRS. JOCELYN MIRAHCIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2517 N RAPID CREEK WAY, KUNA, ID 83634-1688
(208) 954-7791
Mailing address
2517 N RAPID CREEK WAY, KUNA, ID 83634-1688
(208) 954-7791
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-37792
ID
1041C0700X
Clinical Social Worker
Primary
41192
ID
Other
Enumeration date
08/14/2018
Last updated
10/13/2024
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