Mraz, Chivonne Marie

Mraz, Chivonne Marie is an individual health care provider with primary practice located at 428 6Th Ave , Lewiston ID 83501-2355. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mraz, Chivonne Marie can be contacted via phone (208) 799-6500.

Contact Information

Primary practice address
428 6Th Ave Lewiston ID 83501-2355
Phone: (208) 799-6500
Fax: (208) 799-6504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X RC60019333 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-34755 Idaho

Profile Details

NPI number 1235398017
LBN Legal business name Mraz, Chivonne Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2008
Last updated Nov 4th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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