Individual
ALEXIA M DEETZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1002 SHOSHONE ST E, TWIN FALLS, ID 83301-6338
(208) 734-7714
(208) 735-5323
Mailing address
1002 SHOSHONE ST E, TWIN FALLS, ID 83301-6338
(208) 734-7714
(208) 735-5323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-25103
ID
Other
Enumeration date
05/28/2006
Last updated
07/08/2007
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