Individual
MS. VICTORIA L MECHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
320 B ST STE 109, IDAHO FALLS, ID 83402-3547
(208) 528-5434
(208) 522-4364
Mailing address
118 S STOUT AVE, BLACKFOOT, ID 83221-2943
(208) 785-5810
(208) 522-4364
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-25042
ID
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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