Lacey Jane Wuthrich, LMSW

NPI #1982115671 in Pocatello, Idaho

Provider Information

NPI Number: 1982115671
Entity Type: Individual
Name: Lacey Jane Wuthrich, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Oct 20, 2017
Last Updated: Oct 20, 2017

Practice Location

Address: 1777 E CLARK ST STE 330
City: Pocatello
State: Idaho
ZIP Code: 83201-3357
Phone: (208) 233-5433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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