Individual
URSULA R SCHRATTENHOLZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
1630 23RD AVENUE, SUITE 301B, LEWISTON, ID 83501
(208) 798-1811
(208) 798-7177
Mailing address
1630 23RD AVENUE, SUITE 301B, LEWISTON, ID 83501
(208) 798-1811
(208) 798-7177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW1199
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010146759
BC BS
ID
Enumeration date
12/08/2006
Last updated
07/08/2007
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