Individual
CATHARINE A WILFONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6533 W EMERALD ST, BOISE, ID 83704-8737
(208) 302-5200
(208) 302-5225
Mailing address
6533 W EMERALD ST, BOISE, ID 83704-8737
(208) 302-5232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-39358
ID
Other
Enumeration date
07/22/2022
Last updated
09/26/2022
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