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1396964839
MICHAEL E WILEY
CALDWELL, ID
NPI
1396964839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-804)
Enumeration Date
2007-04-24
Last Update Date
2011-03-08
Business Address
-- MICHAEL E WILEY LCSW
2805 BLAINE ST STE 120
CALDWELL, ID 83605-4599
Phone number: 208-459-4412
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Mailing Address
-- MICHAEL E WILEY LCSW
5563 W LUCKY DR
BOISE, ID 83703-3188
Phone number: 208-724-9276
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