Organization
WILDFLOWER INTUITIVE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORIE SUE COOK LCSW, ACSW (CLINICAL DIRECTOR)
(208) 722-2200
Entity
Organization
Contact information
Practice address
4696 W OVERLAND RD STE 276, BOISE, ID 83705-2877
(208) 722-2200
(208) 912-0325
Mailing address
4696 W OVERLAND RD STE 276, BOISE, ID 83705-2877
(208) 722-2200
(208) 912-0325
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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