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1215399159
JENNIFER COLLINS WIEBE
BOISE, ID
NPI
1215399159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW 34096)
Enumeration Date
2016-03-21
Last Update Date
2016-03-21
Business Address
-- JENNIFER COLLINS WIEBE LCSW
190 E. BANNOCK
BOISE, ID 83702
Phone number: 208-381-2721
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Mailing Address
-- JENNIFER COLLINS WIEBE LCSW
190 E. BANNOCK
BOISE, ID 83702
Phone number: 208-381-2721
Copy
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