Most Relevant Information
Provider Data
| NPI Number: | 1003370958 |
| Provider Name: | JENNY SHEA LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | LMSW38297 |
Most Important Dates
| Enumeration Date: | 01/24/2019 |
| Last Updated: | 04/19/2023 |
Provider Practice Location
2995 N COLE RD
SUITE 270
BOISE
ID
83704
Practice Location Phone/Fax
| Phone: | 2085766464 |
| Fax: | 2083921378 |
Provider Mailing Location
2995 N COLE RD
SUITE 270
BOISE
ID
83704
Provider Mailing Phone/Fax
| Phone: | 2085766464 |
| Fax: | 2083921378 |