Individual
LILLIAN KATHERINE COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(208) 907-3611
Mailing address
4191 N BUCKSTONE PL, MERIDIAN, ID 83646-4569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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