Individual
WENDY L SEAGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
450 W STATE ST, BOISE, ID 83702-6056
(208) 616-5401
Mailing address
450 W STATE ST, BOISE, ID 83702-6056
(208) 616-5401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30957
ID
Other
Enumeration date
08/06/2013
Last updated
11/19/2025
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