Individual
MS. RENEE DIANE HATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1408 W HAYS ST, BOISE, ID 83702-0000
(208) 321-7735
(208) 336-7125
Mailing address
1408 W HAYS ST, BOISE, ID 83702-0000
(208) 321-7735
(208) 336-7125
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW844
ID
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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