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General NPI Number Information
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NPI Number | 1003185745
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Entity Type | Individual
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Provider Name | JESSICA DEE MAITRI LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/27/2011
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Last Update Date | 07/16/2022
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Provider Practice Location Address
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Address Line | 500 W IDAHO ST STE 250
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City | BOISE
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State | ID
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Zip | 83702-5756
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Country | US
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Telephone | 208-863-8210
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1533
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City | BOISE
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State | ID
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Zip | 83701-1533
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Country | US
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Telephone | 208-863-8210
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LMSW-30582
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCSW-32437
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License Number State | ID
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