Individual
ALYDA ROSE JAEGERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
127 S WASHINGTON ST STE 5, MOSCOW, ID 83843-2866
(208) 310-3606
Mailing address
503 HUNTER ST, MOSCOW, ID 83843-3131
(208) 310-3606
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-42713
ID
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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