Patricia Dianne Martelle, LCSW

NPI #1609376417 in Star, Idaho

Provider Information

NPI Number
1609376417
Entity Type
Individual
Name
Patricia Dianne Martelle, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Feb 19, 2018
Last Updated
Feb 19, 2018

Practice Location

Address
328 S STREAMLEAF AVE
City
Star
State
Idaho
ZIP Code
83669-5908
Phone
(208) 869-6266

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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