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Individual

NAOMI MIGNEREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1565 E LINCOLN RD, IDAHO FALLS, ID 83401-2129
(208) 524-8996
Mailing address
1565 E LINCOLN RD, IDAHO FALLS, ID 83401-2129
(208) 524-8996

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/13/2020
Last updated
10/13/2020
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