Individual
MRS. REBECCA LEE WILSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
740 WARM SPRINGS AVE, BOISE, ID 83712-6420
(208) 343-7797
(208) 343-0064
Mailing address
6104 W EVERETT ST, BOISE, ID 83704-7701
(208) 409-2751
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-29817
ID
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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