Individual
MELODY KERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
803 HARRISON ST, TWIN FALLS, ID 83301-3925
(208) 732-1633
(208) 736-2135
Mailing address
PO BOX 5935, TWIN FALLS, ID 83303-5935
(208) 539-2791
(208) 736-2135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-26532
ID
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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