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Individual

TAMARA WILKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1320 BENNETT AVE # B, BURLEY, ID 83318-2665
(208) 678-0101
(208) 678-0303
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 734-3313

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1350
ID

Other

Enumeration date
11/26/2007
Last updated
01/28/2008
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