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1366164022
MINDY JO WOLVERTON
BOISE, ID
NPI
1366164022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 28591)
Enumeration Date
2022-09-19
Last Update Date
2022-09-19
Business Address
MINDY JO WOLVERTON LMSW
5440 W FRANKLIN RD STE 200
BOISE, ID 83705-6434
Phone number: 208-793-0004
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Mailing Address
MINDY JO WOLVERTON LMSW
7580 W LOWER FORK CT
BOISE, ID 83709-6088
Phone number: 208-919-2886
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