JENNIFER JOY DE MILLE

BLACKFOOT, ID
NPI1841654381
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LSW-29428)
Enumeration Date2016-04-11
Last Update Date2016-04-11
Business Address
-- JENNIFER JOY DE MILLE LSW
720 EAST ALICE
BLACKFOOT, ID 83221
Phone number: 208-705-6347
Mailing Address
-- JENNIFER JOY DE MILLE LSW
P.O. BOX 129 720 EAST ALICE
BLACKFOOT, ID 83221
Phone number: 208-705-6347