Individual
MINDY JO WOLVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5440 W FRANKLIN RD STE 200, BOISE, ID 83705-6434
(208) 793-0004
Mailing address
7580 W LOWER FORK CT, BOISE, ID 83709-6088
(208) 919-2886
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28591
ID
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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