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1912413279
KENNETH WELLS
BOISE, ID
NPI
1912413279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 39509)
Enumeration Date
2017-12-22
Last Update Date
2024-04-10
Business Address
KENNETH WELLS LCSW
6348 W EMERALD ST
BOISE, ID 83704-8732
Phone number: 208-302-0900
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Mailing Address
KENNETH WELLS LCSW
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-302-0900
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