MR. Jared Ryan Ostermiller, LCSW

NPI #1760505747 in Rexburg, Idaho

Provider Information

NPI Number: 1760505747
Entity Type: Individual
Name: MR. Jared Ryan Ostermiller, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Apr 6, 2007
Last Updated: Aug 24, 2018

Practice Location

Address: 242 E 7TH N
Address 2: STE 4
City: Rexburg
State: Idaho
ZIP Code: 83440-3550
Phone: (208) 359-9683

Specialties & Taxonomy Codes

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

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