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Individual

SAMANTHA JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1350 W HANLEY AVE, COEUR D ALENE, ID 83815-8638
(208) 667-1189
Mailing address
1350 W HANLEY AVE, COEUR D ALENE, ID 83815-8638
(208) 691-1952

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-38885
ID

Other

Enumeration date
06/22/2021
Last updated
11/18/2021
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