MARY AMANDA JENSEN

RIGBY, ID
NPI1265078935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  11526)
Enumeration Date2019-11-18
Last Update Date2019-11-18
Business Address
MARY AMANDA JENSEN CADC
3990 E 20 N
RIGBY, ID 83442-5818
Phone number: 208-390-7373
Mailing Address
MARY AMANDA JENSEN CADC
3990 E 20 N
RIGBY, ID 83442-5818
Phone number: 208-390-7373
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