MECHELLE WILSON

BOISE, ID
NPI1346695772
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-26040)
Enumeration Date2016-05-04
Last Update Date2016-05-04
Business Address
-- MECHELLE WILSON LCSW
1720 N WESTGATE DR STE A
BOISE, ID 83704-7164
Phone number: 208-334-6916
Mailing Address
-- MECHELLE WILSON LCSW
PO BOX 83720
BOISE, ID 83720-0026
Phone number: 208-334-6916