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Individual

JENNIFER LYNN TREMBLAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1363 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 736-7090
(208) 736-7089
Mailing address
1363 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 736-7090
(208) 736-7089

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-35923
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LMSW-35923
BUREAU OF OCCUPATIONAL LICENSES
ID
Enumeration date
05/31/2019
Last updated
05/31/2019
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