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1568177145
KATE JACQUELINE JESENKO
BOISE, ID
NPI
1568177145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID 43039)
Enumeration Date
2023-01-18
Last Update Date
2023-01-18
Business Address
KATE JACQUELINE JESENKO LMSW
3501 W ELDER ST
BOISE, ID 83705-4986
Phone number: 208-286-1529
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Mailing Address
KATE JACQUELINE JESENKO LMSW
2815 W GAVIN ST
BOISE, ID 83703-5867
Phone number: 541-519-4919
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