Individual
MARITZA LORENZANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
12225 W PEAK VIEW ST, BOISE, ID 83709-3711
(208) 440-0923
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-37411
ID
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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