Individual
PATTY H WOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
125 COMMERCE ST STE B, MCCALL, ID 83638-5192
(208) 830-0702
(208) 830-0702
Mailing address
PO BOX 3197, MCCALL, ID 83638-6197
(208) 830-0702
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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