Individual
JAMIE LEANN PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4605 ENTERPRISE WAY STE 105, CALDWELL, ID 83605-6889
(208) 614-4122
Mailing address
1509 FAIRVIEW AVE, CALDWELL, ID 83605-4609
(208) 936-8843
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW 35174
ID
1041C0700X
Clinical Social Worker
Primary
8851764
ID
Other
Enumeration date
09/17/2015
Last updated
04/30/2025
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