Individual
PAIGE M WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6305 W OVERLAND RD, BOISE, ID 83709-3029
(208) 605-3663
Mailing address
1003 N STILSON RD APT A, BOISE, ID 83703-5143
(208) 484-2359
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-45230
ID
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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