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Individual

JANENE RAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.S.W.

Contact information

Practice address
8100 W EMERALD ST STE 180, BOISE, ID 83704-9069
(208) 377-3299
Mailing address
7070 N. HILLGARD AVE, BOISE, ID 83714
(208) 859-6262

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34242
ID

Other

Enumeration date
07/16/2015
Last updated
11/24/2018
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