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Individual

JESSICA ROSE CROCKER-OSWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3350 W AMERICANA TER STE 100-B, BOISE, ID 83706-2521
(208) 392-0006
Mailing address
4438 N SUPAI AVE, MERIDIAN, ID 83646-3671
(208) 392-0006

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
40036
ID
1041C0700X
Clinical Social Worker
Primary
44069
ID

Other

Enumeration date
09/28/2020
Last updated
07/08/2024
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