CHARLES GREGORY WHIPPLE

BOISE, ID
NPI1700189156
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW773)
Enumeration Date2010-12-07
Last Update Date2010-12-07
Business Address
-- CHARLES GREGORY WHIPPLE LCSW
6633 W WRIGHT ST
BOISE, ID 83709-4354
Phone number: 208-375-7777
Mailing Address
-- CHARLES GREGORY WHIPPLE LCSW
6633 W WRIGHT ST
BOISE, ID 83709-4354
Phone number: 208-375-7777