Individual
MRS. CHIVONNE MARIE MRAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
428 6TH AVE, LEWISTON, ID 83501-2355
(208) 799-6500
(208) 799-6504
Mailing address
428 6TH AVE, LEWISTON, ID 83501-2355
(208) 799-6500
(208) 799-6504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
RC60019333
WA
1041C0700X
Clinical Social Worker
Primary
LCSW-34755
ID
Other
Enumeration date
06/05/2008
Last updated
11/04/2015
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