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Individual

EMERY WIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
300 S 23RD ST, BOISE, ID 83702-9100
(208) 344-3512
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 467-3391

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-41309
ID

Other

Enumeration date
10/08/2021
Last updated
10/08/2021
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