MARY LAVERN WURTZ

KUNA, ID
NPI1417541178
Former NameMARY LAVERN LANSING
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ID  LCSW-42910)
Enumeration Date2021-02-23
Last Update Date2024-06-26
Business Address
MARY LAVERN WURTZ LMSW
552 N MOONGLOW AVE
KUNA, ID 83634-2295
Phone number: 208-507-8065
Mailing Address
MARY LAVERN WURTZ LMSW
552 N MOONGLOW AVE
KUNA, ID 83634-2295
Phone number:
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