Individual
TRESA HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
162 N 350 W APT A, BLACKFOOT, ID 83221-5623
(801) 949-3471
Mailing address
162 N 350 W APT A, BLACKFOOT, ID 83221-5623
(801) 949-3471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/26/2014
Last updated
02/02/2022
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