JACOB W. WILSON

NAMPA, ID
NPI1114286648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW30132)
Enumeration Date2012-05-03
Last Update Date2023-07-12
Business Address
JACOB W. WILSON LCSW
824 S DIAMOND ST
NAMPA, ID 83686-5960
Phone number: 208-812-4999
Mailing Address
JACOB W. WILSON LCSW
PO BOX 2553
MCCALL, ID 83638-2553
Phone number: 208-630-4040
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