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Individual

JAMIE POULSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
550 POLK ST STE A, TWIN FALLS, ID 83301-3916
(208) 814-9100
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-42653
ID

Other

Enumeration date
06/12/2019
Last updated
10/18/2022
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