MARK R TETZLAFF

COEUR D ALENE, ID
NPI1629861406
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  2071065)
Enumeration Date2025-05-26
Last Update Date2025-05-28
Business Address
MARK R TETZLAFF LMSW
1110 W PARK PL STE 303
COEUR D ALENE, ID 83814-2784
Phone number: 208-261-2255
Mailing Address
MARK R TETZLAFF LMSW
3266 N 2ND ST
COEUR D ALENE, ID 83815-3760
Phone number: 208-500-1875
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