Individual
MS. LORI JO POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
818 NW 15TH ST, MERIDIAN, ID 83642-3724
(208) 888-5566
(208) 888-5578
Mailing address
7615 MCMULLEN ST, BOISE, ID 83709-0836
(208) 861-0798
(208) 514-2718
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-28421
ID
Other
Enumeration date
05/16/2012
Last updated
10/08/2019
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