Individual
JESSICA RENEE ISAAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1276 W RIVER ST STE 100, BOISE, ID 83702-7083
(208) 609-1926
Mailing address
2008 E MAPLE ST, CALDWELL, ID 83605-5515
(208) 609-1926
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-44126
ID
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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