MICHAEL CHAD WILSON

BOISE, ID
NPI1366708216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ID  LCSW-31906)
Enumeration Date2012-04-04
Last Update Date2023-11-06
Business Address
MR. MICHAEL CHAD WILSON LCSW
10421 W BROWNSTONE DR
BOISE, ID 83709-5612
Phone number: 208-724-0913
Mailing Address
MR. MICHAEL CHAD WILSON LCSW
10421 W BROWNSTONE DR
BOISE, ID 83709-5612
Phone number: 208-724-0913