Individual
CORINNE TEIGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5678 N PINERY CANYON AVE, MERIDIAN, ID 83646-5809
(208) 360-7857
Mailing address
1819 W STATE ST, BOISE, ID 83702-3956
(208) 429-3854
(208) 336-7290
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-428
ID
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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