Individual
KATE JACQUELINE JESENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3501 W ELDER ST, BOISE, ID 83705-4986
(208) 286-1529
Mailing address
2815 W GAVIN ST, BOISE, ID 83703-5867
(541) 519-4919
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
43039
ID
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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