Individual
MRS. TRICIA ANN HARSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
330 N ORCHARD ST, BOISE, ID 83706-1627
(208) 672-0260
Mailing address
330 N ORCHARD ST, BOISE, ID 83706-1627
(208) 672-0260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW 23284
CA
1041C0700X
Clinical Social Worker
Primary
LCSW-27798
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M8075856-002
—
ID
Enumeration date
10/30/2012
Last updated
10/30/2012
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