Individual
KATIE JOY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
333 W. ROSSI ST. #300, BOISE, ID 83706
(208) 344-9797
(208) 344-9898
Mailing address
119 W STATE ST, BOISE, ID 83702-6127
(208) 860-9577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-33062
ID
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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