MICHAEL WAITE

TWIN FALLS, ID
NPI1801258694
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-946)
Enumeration Date2016-03-22
Last Update Date2016-03-22
Business Address
-- MICHAEL WAITE LCSW
823 HARRISON ST
TWIN FALLS, ID 83301-3925
Phone number: 208-736-2177
Mailing Address
-- MICHAEL WAITE LCSW
2074 E 990 S
HAZELTON, ID 83335-5040
Phone number: 208-293-4744
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