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Individual

RONIA R. JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1310 W HAYS ST, BOISE, ID 83702
(208) 803-5339
(815) 642-8485
Mailing address
PO BOX 5222, BOISE, ID 83705-0222
(208) 803-5339

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-45322
ID

Other

Enumeration date
05/13/2025
Last updated
06/12/2025
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