Individual
MRS. BECKY JEAN WOLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
910 NW 16TH ST STE 101, FRUITLAND, ID 83619
(208) 452-8000
(208) 452-8055
Mailing address
3340 E. GOLDSTONE DR., MERIDIAN, ID 83642
(208) 452-8000
(208) 452-8055
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-28988
ID
1041C0700X
Clinical Social Worker
LCSW-30777
ID
Other
Enumeration date
03/25/2009
Last updated
07/23/2020
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