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1164859989
DAVID WYNN
BOISE, ID
NPI
1164859989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW - 33256)
Enumeration Date
2013-10-11
Last Update Date
2016-03-16
Business Address
Mr. DAVID WYNN LCSW
131 N ALLUMBAUGH ST
BOISE, ID 83704-9204
Phone number: 208-367-2175
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Mailing Address
Mr. DAVID WYNN LCSW
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-367-2175
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