Provider Information for 1467706358
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JODI WARTHEN LCSW
Sex: Female
NPI: 1467706358
Last Updated: 2023-01-11
Certification Date: 2023-01-11
Certification Date: 2023-01-11
Details
Name | Value | ||||||||||||
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NPI | 1467706358 | ||||||||||||
Enumeration Date | 2012-10-31 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 3037B E 3400 N TWIN FALLS, ID 83301-0321 United States Phone: 208-320-2252 | Fax: | ||||||||||||
Primary Practice Address | 500 W FORT ST BOISE, ID 83702-4501 United States Phone: 208-422-1000 | Fax: | ||||||||||||
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