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Organization
IDAHO FEDERTION OF FAMILIES
Active
Organization
IDAHO FEDERTION OF FAMILIES
Active
Other names
The Brick House
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MARTELLE LCSW (PROGRAM DEVELOPMENT DIRECTOR)
(208) 433-8845
Entity
Organization
Contact information
Practice address
704 N 7TH ST, BOISE, ID 83702-5503
(208) 433-8845
(208) 433-8337
Mailing address
704 N 7TH ST, BOISE, ID 83702-5503
(208) 433-8845
(208) 433-8337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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