Jessica Lusk, LSW

NPI #1194996868 in Pocatello, Idaho

Provider Information

NPI Number: 1194996868
Entity Type: Individual
Name: Jessica Lusk, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Mar 20, 2008
Last Updated: Mar 20, 2008

Practice Location

Address: 1151 HOSPITAL WAY
City: Pocatello
State: Idaho
ZIP Code: 83201-5091
Phone: (208) 233-3353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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