Individual
MATEA TIPURIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2335 E STATE AVE, MERIDIAN, ID 83642-8808
(208) 672-1801
Mailing address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 605-7070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-43033
ID
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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