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1184402943
JENNIFER RYAN ZACCONE
TWIN FALLS, ID
NPI
1184402943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LPC-6217)
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
JENNIFER RYAN ZACCONE MD,LPC
634 CARRIAGE LN
TWIN FALLS, ID 83301-6839
Phone number: 208-404-9409
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Mailing Address
JENNIFER RYAN ZACCONE MD,LPC
634 CARRIAGE LN
TWIN FALLS, ID 83301-6839
Phone number: 208-404-9409
Copy
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