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1104523042
DIANIRA RENEE CORTEZ
MERIDIAN, ID
NPI
1104523042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LPC-6104)
Enumeration Date
2023-02-10
Last Update Date
2023-02-10
Business Address
DIANIRA RENEE CORTEZ LPC
750 W USTICK RD STE 120
MERIDIAN, ID 83646-6133
Phone number: 208-991-7378
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Mailing Address
DIANIRA RENEE CORTEZ LPC
6259 W BLACK BUTTE ST
MERIDIAN, ID 83646-8704
Phone number: 208-991-7873
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