Individual
MRS. TRACIE J. CORLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
834 FALLS AVE STE 1050, TWIN FALLS, ID 83301-3363
(208) 736-0995
(208) 736-0999
Mailing address
834 FALLS AVE STE 1050, TWIN FALLS, ID 83301-3363
(208) 736-0995
(208) 736-0999
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4789
ID
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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