Individual
BRUCE A WEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
308 E HAWAII AVE, NAMPA, ID 83686-6013
(208) 463-6009
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW27672
ID
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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