Individual
FEDERICA LANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1243 E IRON EAGLE DR STE 130D, EAGLE, ID 83616-6599
(208) 684-2585
(208) 547-6835
Mailing address
1243 E IRON EAGLE DR STE 130D, EAGLE, ID 83616-6599
(208) 684-2585
(208) 547-6835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-33657
ID
Other
Enumeration date
10/09/2007
Last updated
03/01/2020
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