Individual
JAMISON WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
750 E WARM SPRINGS AVE, BOISE, ID 83712-6475
(951) 520-6382
Mailing address
1916 S KERR ST, BOISE, ID 83705-3411
(951) 520-6382
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-43993
ID
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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