Individual
JEANNE B RACER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
147 EMERSON LN, BONNERS FERRY, ID 83805-6153
(208) 267-7522
Mailing address
594 LOST MILE RD, BONNERS FERRY, ID 83805-4904
(208) 217-2162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-41739
ID
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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