Individual
MRS. JEANNETTE ELIZABETH FLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.,CADC,CCS
Contact information
Practice address
1818 W. STATE ST, FIRST STEP FOR WOMEN, BOISE, ID 83702
(208) 344-5611
(208) 333-8831
Mailing address
126 W THORNBERRY CT, BOISE, ID 83702-1665
(208) 344-5611
(208) 333-8831
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ICADC 8963
ID
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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