Individual
JILL SCAGLIA CHRISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-766
ID
207Q00000X
Family Medicine Physician
LCSW-766
ID
Other
Enumeration date
07/10/2007
Last updated
08/23/2011
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