Individual
ANNETTE L WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10740 W FAIRVIEW AVE, SUITE 100, BOISE, ID 83713-7926
(208) 376-0191
Mailing address
3393 E YESTERNIGHT ST, MERIDIAN, ID 83642-7870
(208) 887-4808
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMSW-28550
ID
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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