Individual
TRINITA ANNYS ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
660 N. MAIN STREET, 2ND FLOOR, UNIT #5, KETCHUM, ID 83340
(208) 481-4639
Mailing address
PO BOX 426, HAILEY, ID 83333-0400
(208) 481-4639
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-36738
ID
Other
Enumeration date
09/14/2022
Last updated
08/03/2026
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