Individual
JILLIAN DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 N 4TH ST, COEUR D ALENE, ID 83814-3310
(208) 292-2188
(208) 292-2189
Mailing address
1417 N 4TH ST, COEUR D ALENE, ID 83814-3310
(208) 292-2188
(208) 292-2189
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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