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Individual

COURTNEY WAMBEKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1031 W SANETTA ST, NAMPA, ID 83651-5047
(208) 442-0429
Mailing address
1031 W SANETTA ST, NAMPA, ID 83651-5047
(208) 442-0429

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
251S00000X
Community/Behavioral Health Agency
Primary
LPC-5855
ID

Other

Enumeration date
10/30/2012
Last updated
06/10/2015
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