Individual
JENA SCHILDHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
963 S ORCHARD ST, BOISE, ID 83705-1939
(208) 398-0504
Mailing address
4679 W GARDEN CT, BOISE, ID 83705-3986
(208) 899-2227
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-32762
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-37032
ID
Other
Enumeration date
03/03/2014
Last updated
03/17/2018
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