Individual
JACQUELINE JEAN BOWCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1248 E 17TH ST, IDAHO FALLS, ID 83404-6147
(208) 542-1026
Mailing address
1248 E 17TH ST, IDAHO FALLS, ID 83404-6147
(208) 542-1026
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/23/2022
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