Individual
MARCI STUCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2691 S 2000 W, REXBURG, ID 83440-4088
(208) 701-9616
Mailing address
251 W 3RD N, REXBURG, ID 83440-1532
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4171260
ID
Other
Enumeration date
04/15/2021
Last updated
05/22/2026
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