Individual
OLIVIA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2267 TETON PLZ, IDAHO FALLS, ID 83404-6486
(208) 522-0140
Mailing address
531 TRAILS END, IDAHO FALLS, ID 83402-1286
(801) 458-6657
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
45299
ID
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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