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Mary Jensen, CADC

NPI 1265078935 · on the registry since 2019

Practice

Address
3990 E 20 N
Rigby, ID 83442
Phone
(208) 390-7373

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho