Individual
THERESA WALELU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 S LA POINTE ST APT 244, BOISE, ID 83706-2952
(971) 601-6253
Mailing address
1105 S LA POINTE ST APT 244, BOISE, ID 83706-2952
(971) 601-6253
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OR
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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