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1184318743
LISA M CORN
NAMPA, ID
NPI
1184318743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LPC-9520)
Enumeration Date
2023-06-06
Last Update Date
2024-03-30
Business Address
LISA M CORN LPC
1370 CALDWELL BLVD STE 4
NAMPA, ID 83651-1768
Phone number: 208-442-9419
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Mailing Address
LISA M CORN LPC
9520 GLORIA RD
MIDDLETON, ID 83644-5044
Phone number: 208-941-3213
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