PAMELA JEAN WIETERS

LEWISTON, ID
NPI1649629700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-38063)
Additional Taxonomies104100000X Social Worker
(Licence: ID  LMSW-27529)
Enumeration Date2016-06-09
Last Update Date2019-09-30
Business Address
PAMELA JEAN WIETERS LCSW
428 6TH AVE
LEWISTON, ID 83501-2355
Phone number: 208-799-6500
Mailing Address
PAMELA JEAN WIETERS LCSW
531 BRYDEN AVE
LEWISTON, ID 83501-4438
Phone number: 208-798-1646