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1750973715
STEPHEN WELLS
BOISE, ID
NPI
1750973715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LMSW-40406)
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
STEPHEN WELLS LMSW
8950 W EMERALD ST
BOISE, ID 83704-4854
Phone number: 208-376-7083
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Mailing Address
STEPHEN WELLS LMSW
8950 W EMERALD ST
BOISE, ID 83704-4854
Phone number: 208-376-7083
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