ZACHARY WIXOM

IDAHO FALLS, ID
NPI1023507977
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-05-07
Last Update Date2018-05-07
Business Address
ZACHARY WIXOM LMSW
150 SHOUP AVE
IDAHO FALLS, ID 83402-3657
Phone number: 208-528-5712
Mailing Address
ZACHARY WIXOM LMSW
150 SHOUP AVE
IDAHO FALLS, ID 83402-3657
Phone number:
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