Lisa Wilmore

NPI #1336687805 in Ammon, Idaho

Provider Information

NPI Number
1336687805
Entity Type
Individual
Name
Lisa Wilmore
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Marriage & Family Therapist
Enumeration Date
Feb 5, 2017
Last Updated
Apr 26, 2017

Practice Location

Address
3522 BRIAR CREEK LN
City
Ammon
State
Idaho
ZIP Code
83406-4728
Phone
(208) 529-1660

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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