JACKIE LYN KAYNE-SHERAR

COEUR D ALENE, ID
NPI1154947950
Former NameJACKIE LYN SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: ID  0)
Enumeration Date2020-06-18
Last Update Date2020-06-18
Business Address
JACKIE LYN KAYNE-SHERAR Peer Support
2025 W PARK PL STE B
COEUR D ALENE, ID 83814-2787
Phone number: 208-620-5210
Mailing Address
JACKIE LYN KAYNE-SHERAR Peer Support
PO BOX 1387
HAYDEN, ID 83835-1387
Phone number: 208-415-0299
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