Individual
JODIE KEYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
156 MCCLURE AVE, NAMPA, ID 83651-2025
(208) 467-7654
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 461-7149
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-28553
ID
Other
Enumeration date
01/20/2021
Last updated
11/27/2023
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