Individual
MISS JADE D. MUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.S.W
Contact information
Practice address
201 N 21ST AVE, CALDWELL, ID 83605-4371
(208) 455-1222
Mailing address
201 N 21ST AVE, CALDWELL, ID 83605-4371
(208) 455-1222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
31641
ID
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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