Individual
WESLEY ROBERT FARRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
855 N CAPITAL AVE STE 2, IDAHO FALLS, ID 83402-3405
(208) 552-0855
Mailing address
855 N CAPITAL AVE STE 2, IDAHO FALLS, ID 83402-3405
(208) 552-0855
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-38649
ID
Other
Enumeration date
11/21/2019
Last updated
12/26/2019
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