Individual
JENNIFER A WERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
215 UNIVERSITY AVE E, GOODING, ID 83330-6155
(208) 934-5880
Mailing address
1956 WOOD RIVER RD, GOODING, ID 83330-6105
(208) 420-5523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-37730
ID
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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