SERENA POLAND

MERIDIAN, ID
NPI1740767623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: ID  LPC-6955)
Enumeration Date2018-07-24
Last Update Date2018-07-24
Business Address
SERENA POLAND LPC
3019 S HUDSPETH AVE
MERIDIAN, ID 83642-4815
Phone number: 208-841-8821
Mailing Address
SERENA POLAND LPC
3019 S HUDSPETH AVE
MERIDIAN, ID 83642-4815
Phone number: 208-841-8821
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