Individual
SHELL WAMBLE-FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1276 W RIVER ST, SUITE 100, BOISE, ID 83702-7066
(208) 338-4699
(208) 322-4722
Mailing address
1276 W RIVER ST, SUITE 100, BOISE, ID 83702-7066
(208) 338-4699
(208) 322-4722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW1261
ID
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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