Individual
JENNIFER LYNN LINERUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW, LICSW
Contact information
Practice address
8251 N CORNERSTONE DR, HAYDEN, ID 83835-8683
(509) 903-5013
Mailing address
8251 N CORNERSTONE DR, HAYDEN, ID 83835-8683
(509) 903-5013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-45136
ID
1041C0700X
Clinical Social Worker
LW61520662
WA
Other
Enumeration date
07/21/2022
Last updated
09/03/2024
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