Individual
DR. JILL MICHELLE CHONODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3134 S WATERBURY LN, BOISE, ID 83706-5222
(317) 801-2682
Mailing address
3134 S WATERBURY LN, BOISE, ID 83706-5222
(317) 801-2682
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
37605
ID
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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