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Individual

DEBRA DIANE SEAICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1373 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 737-9999
(208) 736-4400
Mailing address
1373 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 737-9999
(208) 736-4400

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34890
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942301106
ID
Enumeration date
06/23/2015
Last updated
06/23/2015
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