Individual
ANNE STEGENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(209) 282-4141
Mailing address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(209) 282-4141
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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