Jennifer L Minnis, LCSW

NPI #1134896418 in Melba, Idaho

Provider Information

NPI Number: 1134896418
Entity Type: Individual
Name: Jennifer L Minnis, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 25, 2021
Last Updated: Aug 25, 2021

Practice Location

Address: 150 2ND ST
City: Melba
State: Idaho
ZIP Code: 83641-5199
Phone: (208) 459-1011

Specialties & Taxonomy Codes

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

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