Individual
MS. STEPHANIE B HATZENBUEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
660 N MAIN ST, 2ND FLOOR, KETCHUM, ID 83340
(208) 922-7064
(208) 928-7647
Mailing address
PO BOX 3387, HAILEY, ID 83333
(208) 922-7064
(208) 928-7647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-37119
ID
Other
Enumeration date
04/10/2008
Last updated
10/28/2020
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