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Individual

MRS. JENNIFER ROSE STROUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L LMSW-37035

Contact information

Practice address
215 UNIVERSITY AVE E, GOODING, ID 83330-6155
(208) 934-5880
(208) 934-5876
Mailing address
215 UNIVERSITY AVE E, GOODING, ID 83330-6155
(208) 934-5880
(208) 934-5876

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-37035
ID

Other

Enumeration date
09/19/2017
Last updated
07/21/2022
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