Individual
JILINDA ROSE WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
671 N 3RD W, RIGBY, ID 83442-1128
(208) 270-1565
Mailing address
671 N 3RD W, RIGBY, ID 83442-1128
(208) 270-1565
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-42178
ID
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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