Individual
TAYLOR WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1276 W RIVER ST STE 100, BOISE, ID 83702-7083
(208) 338-4699
Mailing address
5233 W GROVER ST, BOISE, ID 83705-1141
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7871069
ID
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/14/2022
Last updated
08/25/2025
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