Individual
THERESA FRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
1027 W RANCH RD, BOISE, ID 83702-1439
(208) 850-5109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-681
ID
Other
Enumeration date
05/19/2017
Last updated
05/19/2017
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