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1366708216
MICHAEL CHAD WILSON
BOISE, ID
NPI
1366708216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-31906)
Enumeration Date
2012-04-04
Last Update Date
2023-11-06
Business Address
Mr. MICHAEL CHAD WILSON LCSW
10421 W BROWNSTONE DR
BOISE, ID 83709-5612
Phone number: 208-724-0913
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Mailing Address
Mr. MICHAEL CHAD WILSON LCSW
10421 W BROWNSTONE DR
BOISE, ID 83709-5612
Phone number: 208-724-0913
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