Individual
ELSIRA CORAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 623-8099
Mailing address
7949 E TOUSSAND DR, NAMPA, ID 83687-5175
(208) 392-0669
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5171664
ID
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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