Individual
JAIME ROCHELLE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
444 W FORT ST FL 2, BOISE, ID 83702-4535
(208) 422-1018
Mailing address
444 W FORT ST FL 2, BOISE, ID 83702-4535
(208) 422-1018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-28774
ID
172V00000X
Community Health Worker
LCSW-28774
ID
Other
Enumeration date
01/26/2010
Last updated
08/29/2023
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