CORENE PETERSON

IDAHO FALLS, ID
NPI1003188897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-34038)
Enumeration Date2012-02-08
Last Update Date2014-10-10
Business Address
-- CORENE PETERSON LCSW
1565 E LINCOLN RD
IDAHO FALLS, ID 83401-2129
Phone number: 208-524-8996
Mailing Address
-- CORENE PETERSON LCSW
1565 E LINCOLN RD
IDAHO FALLS, ID 83401-2129
Phone number: 208-524-8996
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