Individual
PATRICIA WEIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
417 S. 6TH STREET, BOISE, ID 83702
(208) 577-4478
Mailing address
417 S. 6TH STREET, BOISE, ID 83702
(208) 577-4478
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-36087
ID
Other
Enumeration date
01/17/2014
Last updated
03/25/2025
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