Individual
JENNIFER COX PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1600 JOHN ADAMS PKWY STE 102, IDAHO FALLS, ID 83401-4300
(120) 852-9527
Mailing address
1600 JOHN ADAMS PKWY STE 102, IDAHO FALLS, ID 83401-4300
(120) 852-9527
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1150
ID
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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