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Individual

CHRISTIAN WHEELIHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4792 S TINKER AVE, BOISE, ID 83709-4968
(208) 859-1008
Mailing address
4477 W EMERALD ST, BOISE, ID 83706-2000
(208) 321-0160

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW30242
ID

Other

Enumeration date
11/26/2013
Last updated
11/26/2013
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