Organization
WORD MASON
Active
Other names
Word Mason,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WOLFE MSW (MANAGING MEMBER)
(208) 293-5673
Entity
Organization
Contact information
Practice address
1503 TETON AVE, CALDWELL, ID 83605-2266
(208) 293-5673
Mailing address
1503 TETON AVE, CALDWELL, ID 83605-2266
(208) 293-5673
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134131048
PROVIDER INDIVIDUAL NPI NUMBER
—
Enumeration date
06/21/2013
Last updated
06/21/2013
Update your record
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