MICHAEL E WILEY

CALDWELL, ID
NPI1396964839
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-804)
Enumeration Date2007-04-24
Last Update Date2011-03-08
Business Address
-- MICHAEL E WILEY LCSW
2805 BLAINE ST STE 120
CALDWELL, ID 83605-4599
Phone number: 208-459-4412
Mailing Address
-- MICHAEL E WILEY LCSW
5563 W LUCKY DR
BOISE, ID 83703-3188
Phone number: 208-724-9276