Individual
MARTEN HATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
452 D ST, IDAHO FALLS, ID 83402-3531
(208) 552-0355
Mailing address
4030 E 480 N, RIGBY, ID 83442-5207
(208) 346-3377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-35278
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-37638
ID
Other
Enumeration date
12/01/2015
Last updated
11/15/2021
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