Individual
MARTHA FETZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, RD, LD
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
1214 W FRANKLIN ST, BOISE, ID 83702-5301
(208) 569-4087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
43638
ID
104100000X
Social Worker
Primary
8911317
ID
Other
Enumeration date
01/16/2024
Last updated
01/30/2026
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