Jennifer Marie Miles, LCSW

NPI #1083017578 in Pocatello, Idaho

Provider Information

NPI Number
1083017578
Entity Type
Individual
Name
Jennifer Marie Miles, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Sep 29, 2014
Last Updated
Jul 21, 2022

Practice Location

Address
1368 EL RANCHO BLVD
State
Idaho
ZIP Code
83201-2808
Phone
(208) 339-6565

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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