Provider Information for 1235653114
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Mrs. AMY MARIE WERNSING LPC
Sex: Female
NPI: 1235653114
Last Updated: 2017-08-01
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1235653114 | ||||||||
| Enumeration Date | 2017-08-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3308 N COLE RD STE A BOISE, ID 83704-4407 United States Phone: 208-378-1122 | Fax: | ||||||||
| Primary Practice Address | 3308 N COLE RD STE A BOISE, ID 83704-4407 United States Phone: 208-378-1122 | Fax: | ||||||||
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