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1417487331
MICHELLE WILSON
MERIDIAN, ID
NPI
1417487331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-36744)
Enumeration Date
2017-06-13
Last Update Date
2017-06-13
Business Address
MICHELLE WILSON
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-706-0217
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Mailing Address
MICHELLE WILSON
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2616
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