MR. Jesse Ray Cobb, LCSW

NPI #1083001630 in Fruitland, Idaho

Provider Information

NPI Number: 1083001630
Entity Type: Individual
Name: MR. Jesse Ray Cobb, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Apr 21, 2015
Last Updated: Apr 21, 2015

Practice Location

Address: 1210 NW 16TH ST
City: Fruitland
State: Idaho
ZIP Code: 83619-2202
Phone: (208) 452-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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