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Individual

JENNIFER ANNE KIRK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5045 N ROSEPOINT WAY, BOISE, ID 83713-0903
(208) 391-7893
Mailing address
5045 N ROSEPOINT WAY, BOISE, ID 83713-0903
(619) 997-6497

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-39555
ID

Other

Enumeration date
06/20/2019
Last updated
11/03/2021
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