Individual
CHERITY WOOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2539 CHANNING WAY STE 101, IDAHO FALLS, ID 83404-7557
(208) 716-3140
Mailing address
4383 S STREETER AVE, AMMON, ID 83406-8140
(208) 716-3140
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-33294
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-37623
ID
Other
Enumeration date
12/04/2014
Last updated
11/01/2022
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