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1316368756
JENNIFER WILSON
MERIDIAN, ID
NPI
1316368756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LMSW-29066)
Enumeration Date
2014-01-03
Last Update Date
2014-01-03
Business Address
MRS. JENNIFER WILSON LMSW
3067 E COPPER POINT DR
MERIDIAN, ID 83642-1740
Phone number: 208-888-1758
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Mailing Address
MRS. JENNIFER WILSON LMSW
10421 W BROWNSTONE DR
BOISE, ID 83709-5612
Phone number: 208-794-8240
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