RANDY WILD

BOISE, ID
NPI1295939080
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: OR  C1740)
Enumeration Date2007-06-13
Last Update Date2024-02-14
Business Address
RANDY WILD LCPC
3152 S BOWN WAY STE 103
BOISE, ID 83706-5456
Phone number: 541-550-7940
Mailing Address
RANDY WILD LCPC
3152 S BOWN WAY STE 103
BOISE, ID 83706-5456
Phone number: 541-550-7940
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