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Corryn N Bennion

Social Worker in Boise, ID. Individual provider (NPI-1).

NPI number1891513412
StatusActive
Last updated in NPPESOct 2, 2024

Details

NPI
1891513412
Entity type
Individual (NPI-1)
Name
Corryn N Bennion
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 2, 2024
Certification date
Oct 1, 2024
Last updated
Oct 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker2161479IDYes

Practice location

6003 W Overland Rd
Boise, ID 83709-3073

Phone 208-751-0478

Mailing address

225 N 1st W Apt 6
Saint Anthony, ID 83445-1451

Phone 702-490-8845

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