Ms. PATRECE ELISABETH MOODY MEZA -- LCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1649250564- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCSW
- Status
- Active
Contact & Location
- Address
- 190 W. MAIN STREET, KUNA, ID, 836340959
- Phone
- (208) 733-1996
Specialties & Taxonomies
Social Worker, Clinical
Primary License: ID #LCSW 457
Social Worker, Clinical
License: ID #457