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1821489105
CORINNE TEIGEN
MERIDIAN, ID
NPI
1821489105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW-428)
Enumeration Date
2015-02-09
Last Update Date
2015-02-09
Business Address
-- CORINNE TEIGEN LMSW
5678 N PINERY CANYON AVE
MERIDIAN, ID 83646-5809
Phone number: 208-360-7857
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Mailing Address
-- CORINNE TEIGEN LMSW
1819 W STATE ST
BOISE, ID 83702-3956
Phone number: 208-429-3854
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