Individual
MRS. JOYCE IRENE SHETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
834 FALLS AVE, SUITE 1020M, TWIN FALLS, ID 83301
(208) 734-0611
(208) 734-5354
Mailing address
834 FALLS AVE, SUITE 1020M, TWIN FALLS, ID 83301
(208) 734-0611
(208) 734-5354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW418
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010015893
REGENCE BLUE SHIELD
ID
01
—
L4181
BLUE CROSS
ID
Enumeration date
08/31/2006
Last updated
07/08/2007
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