Individual
JAIMIE L SHARPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
223 N 6TH ST STE 240, BOISE, ID 83702-6092
(208) 917-2084
(208) 550-8959
Mailing address
223 N 6TH ST STE 240, BOISE, ID 83702-6092
(208) 917-2084
(208) 550-8959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-35753
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992042824
—
ID
Enumeration date
01/11/2013
Last updated
12/21/2023
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