Michelle Wilson
Social Worker in Meridian, ID. Individual provider (NPI-1).
NPI number1417487331
StatusActive
Last updated in NPPESJun 13, 2017
Details
- NPI
- 1417487331
- Entity type
- Individual (NPI-1)
- Name
- Michelle Wilson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2017
- Last updated
- Jun 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | LMSW-36744 | ID | Yes |
Practice location
520 S Eagle RdMeridian, ID 83642-6351
Phone 208-706-0217
Mailing address
190 E Bannock StBoise, ID 83712-6241
Phone 208-381-2616
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All 104 Social Worker providers in Meridian · All 4,112 providers in Meridian
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