Individual
MR. MARK LAMPRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
650 ADDISON AVE W, SUITE 400, TWIN FALLS, ID 83301-5851
(208) 733-1624
(208) 441-8637
Mailing address
650 ADDISON AVE W, SUITE 400, TWIN FALLS, ID 83301-5851
(208) 733-1624
(208) 441-8637
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 34380
ID
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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