Individual
JENNIFER LYNN OBERST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7905 N MEADOWLARK WAY STE B, COEUR D ALENE, ID 83815-5041
(208) 772-3116
(208) 772-7677
Mailing address
8826 E ARGONNE LN, SPOKANE, WA 99212-1795
(509) 981-6065
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-30658
ID
104100000X
Social Worker
SA60461160
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMSW-30658
LICENSED MASTER SOCIAL WORKER
ID
01
—
SA60461160
SOCIAL WORKER ASSOCIATE ADVANCED
WA
Enumeration date
05/19/2014
Last updated
05/19/2014
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