KASSIDI RENEE JORDAN

BOISE, ID
NPI1962159731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-39590)
Enumeration Date2022-03-02
Last Update Date2022-03-02
Business Address
KASSIDI RENEE JORDAN LMSW
2424 W BANK DR
BOISE, ID 83705-2565
Phone number: 208-342-3612
Mailing Address
KASSIDI RENEE JORDAN LMSW
2424 W BANK DR
BOISE, ID 83705-2565
Phone number: 208-342-3612
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