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Individual

DR. CONNIE C HAHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
135 MCKINLEY AVE, KELLOGG, ID 83837-2567
(208) 786-7040
(208) 682-9952
Mailing address
PO BOX 177, KINGSTON, ID 83839-0177
(208) 682-3532
(208) 682-9952

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
04/06/2007
Last updated
07/09/2007
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