Individual
JENNY LEE DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6140 W EMERALD ST, BOISE, ID 83704-8857
(208) 367-3300
(208) 367-3308
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW - 31676
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-31676
ID
Other
Enumeration date
08/21/2013
Last updated
08/29/2024
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