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1902321888
JAYNE DERR
BOISE, ID
NPI
1902321888
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Former Name
JAYNE HENDERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID 31092)
Enumeration Date
2017-08-11
Last Update Date
2017-08-11
Business Address
MRS. JAYNE DERR LCSW
131 N ALLUMBAUGH ST
BOISE, ID 83704-9204
Phone number: 208-302-0900
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Mailing Address
MRS. JAYNE DERR LCSW
3340 E. GOLDSTONE WAY ATT: SANDRA RODRIGUEZ
MERIDIAN, ID 83642-1026
Phone number: 208-367-5170
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