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1124441951
JODI WILKS
BOISE, ID
NPI
1124441951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCSW-29875)
Enumeration Date
2014-01-30
Last Update Date
2014-01-30
Business Address
-- JODI WILKS lcsw
8100 W EMERALD ST STE 150 AFFINITY INC
BOISE, ID 83704-9057
Phone number: 208-375-0752
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Mailing Address
-- JODI WILKS lcsw
1065 W PINE AVE APT 1
MERIDIAN, ID 83642-8389
Phone number: 208-841-8011
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