Individual
MRS. JENNIFER SHAWN EASON-BARNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 N 16TH ST, #110, PAYETTE, ID 83661-2781
(208) 642-2600
Mailing address
2007 E QUAIL RUN RD, #1, EMMETT, ID 83617-5059
(208) 365-5445
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
31776
ID
1041C0700X
Clinical Social Worker
992749
CO
Other
Enumeration date
04/03/2009
Last updated
07/20/2012
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