Individual
SETH PATZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1030 S 3RD ST, ST MARIES, ID 83861-1958
(208) 215-6425
Mailing address
PO BOX 191, ST MARIES, ID 83861-0191
(208) 274-3430
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW34869
ID
1041C0700X
Clinical Social Worker
Primary
38756
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2094949
—
WA
01
—
38756
LICENSE
ID
Enumeration date
08/21/2015
Last updated
12/23/2022
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