Individual
COLLEEN WASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 N MAIN ST, DRIGGS, ID 83422-5141
(307) 699-1910
Mailing address
5919 VICTOR MEADOWS DR, VICTOR, ID 83455-1223
(307) 699-1910
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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