Individual
JENNIFER-LEIGH MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
725 POLE LINE RD W, TWIN FALLS, ID 83301-5860
(208) 814-1608
(208) 814-8929
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-40177
ID
Other
Enumeration date
07/07/2014
Last updated
05/11/2023
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