Individual
SUMMER ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
430 W IOWA AVE STE B, NAMPA, ID 83686-2826
(208) 867-9329
Mailing address
128 E PINE AVE, MERIDIAN, ID 83642-2331
(208) 996-0737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-38165
ID
Other
Enumeration date
01/18/2019
Last updated
04/30/2026
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