JADEN CHARLOTTE-MARGARET PROVANT

BOISE, ID
NPI1538909098
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041S0200X Social Worker, School
(Licence: ID  45221)
Enumeration Date2024-05-30
Last Update Date2024-05-30
Business Address
JADEN CHARLOTTE-MARGARET PROVANT LMSW
2995 N COLE RD
BOISE, ID 83704-5964
Phone number: 208-957-3950
Mailing Address
JADEN CHARLOTTE-MARGARET PROVANT LMSW
2995 N COLE RD
BOISE, ID 83704-5964
Phone number: 208-957-3950