Individual
ANNETTE MARIE COWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1273 E 17TH ST, IDAHO FALLS, ID 83404-6126
(208) 523-0787
(208) 523-3175
Mailing address
1273 E 17TH ST, IDAHO FALLS, ID 83404-6126
(208) 523-0787
(208) 523-3175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-31798
ID
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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