Individual
MS. KERRY L KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
414 SHOUP AVE W STE B, TWIN FALLS, ID 83301-5042
(208) 814-9100
(208) 814-9903
Mailing address
414 SHOUP AVE W STE B, TWIN FALLS, ID 83301-5042
(208) 814-9100
(208) 814-9903
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30785
ID
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
About Stedi
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