Jaden Charlotte-Margaret Provant, LMSW

NPI #1538909098 in Boise, Idaho

Provider Information

NPI Number: 1538909098
Entity Type: Individual
Name: Jaden Charlotte-Margaret Provant, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - School
Credential: LMSW
Enumeration Date: May 30, 2024
Last Updated: May 30, 2024

Practice Location

Address: 2995 N COLE RD
City: Boise
State: Idaho
ZIP Code: 83704-5964
Phone: (208) 957-3950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - School — School	1041S0200X	Primary

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