Individual
MRS. JAYNE DERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
131 N ALLUMBAUGH ST, BOISE, ID 83704-9204
(208) 302-0900
(208) 302-0955
Mailing address
3340 E. GOLDSTONE WAY, ATT: SANDRA RODRIGUEZ, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
31092
ID
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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