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Individual

SHIREEN A WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
254 E ST, STE B, IDAHO FALLS, ID 83402-3527
(208) 403-4396
Mailing address
254 E ST, STE B, IDAHO FALLS, ID 83402-3527

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-33007
ID

Other

Enumeration date
07/01/2013
Last updated
07/01/2013
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