Individual
JEFF ROELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
89 N MAIN ST, DRIGGS, ID 83422-5164
(208) 201-7049
Mailing address
8602 FLINT RD, VICTOR, ID 83455-5520
(208) 201-7049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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