Individual
LINDA MARIE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SKI RD, LIBBY, MT 59923-2843
(406) 293-2763
Mailing address
118 N 7TH ST, STE B10, COEUR D ALENE, ID 83814-2759
(208) 819-2716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12329
MT
Other
Enumeration date
08/31/2015
Last updated
03/08/2018
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