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1649367418
JOSEPH CARROLL WILSON
MCCALL, ID
NPI
1649367418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID M.S.W.,L.C.S.W 900)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
MR. JOSEPH CARROLL WILSON M.S.W.,L.C.S.W.
200 FOREST ST.
MCCALL, ID 83638
Phone number: 208-634-2899
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Mailing Address
MR. JOSEPH CARROLL WILSON M.S.W.,L.C.S.W.
P.O. BOX 2430
MCCALL, ID 83638
Phone number: 208-634-2899
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