Individual
TAYLOR JO KENCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
1260 N PRINCIPLE WAY, MERIDIAN, ID 83642-6082
(208) 515-6301
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
42258
ID
104100000X
Social Worker
Primary
—
ID
Other
Enumeration date
05/20/2022
Last updated
08/15/2025
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