MRS. Mary Jane Conder, LCSW

NPI #1841525474 in Lewiston, Idaho

Provider Information

NPI Number: 1841525474
Entity Type: Individual
Name: MRS. Mary Jane Conder, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 15, 2009
Last Updated: Oct 15, 2009

Practice Location

Address: 518 LINDEN DR
City: Lewiston
State: Idaho
ZIP Code: 83501-4432
Phone: (208) 746-4025

Specialties & Taxonomy Codes

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

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