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Individual

MEGAN A WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2275 S EAGLE RD STE 120, MERIDIAN, ID 83642
(208) 514-2520
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
33563
ID
104100000X
Social Worker
33563
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-36904
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952769499
ID
Enumeration date
01/28/2016
Last updated
06/26/2018
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