Individual
MRS. KATRIN POTTICARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-1351
(208) 426-1459
Mailing address
1910 UNIVERSITY DR, BOISE, ID 83725-0001
(208) 426-1459
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-31566
ID
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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