Individual
JENNIFER MERLAINE CORNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
479 POLK ST # 3B, TWIN FALLS, ID 83301-4850
(208) 404-3636
Mailing address
479 POLK ST # 3B, TWIN FALLS, ID 83301-4850
(208) 404-3636
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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