PATRECE ELISABETH MOODY MEZA

KUNA, ID
NPI1649250564
Professional NamePATRECE E MOODY MEZA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW 457)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: ID  457)
Enumeration Date2006-01-18
Last Update Date2013-10-31
Business Address
Ms. PATRECE ELISABETH MOODY MEZA LCSW
190 W. MAIN STREET
KUNA, ID 83634-0959
Phone number: 208-733-1996
Mailing Address
Ms. PATRECE ELISABETH MOODY MEZA LCSW
PO BOX 959 190 W. MAIN STREET KUNA COUNSELING CENTER
KUNA, ID 83634-0959
Phone number: 208-922-9001