Individual
JAMI DANIELLE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10740 W FAIRVIEW AVE, SUITE 100, BOISE, ID 83713-7926
(208) 376-0191
Mailing address
3095 W LOST RAPIDS DR, MERIDIAN, ID 83642-6199
(208) 884-3953
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-27654
ID
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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