Individual
MRS. THEA CORINNE ROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBRS, CM, CPSS
Contact information
Practice address
2705 E 17TH ST, AMMON, ID 83406-6601
(208) 346-7500
Mailing address
740 SATURN AVE APT 9, IDAHO FALLS, ID 83402-2669
(208) 206-3300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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