Individual
JORDAN EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
940 SOUTH 5TH WEST UNIT 11307, REXBURG, ID 83440
(208) 701-8543
Mailing address
940 SOUTH 5TH WEST UNIT 11307, REXBURG, ID 83440
(208) 701-8543
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
43605
ID
Other
Enumeration date
02/08/2025
Last updated
02/08/2025
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