Individual
MRS. NANCY M. WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
335 N MAIN ST, POCATELLO, ID 83204-3108
(208) 478-8340
(208) 478-8341
Mailing address
808 REED ST, AMERICAN FALLS, ID 83211-1337
(208) 226-2399
(208) 478-8341
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW26915
ID
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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