KENNETH WELLS

BOISE, ID
NPI1912413279
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  39509)
Enumeration Date2017-12-22
Last Update Date2024-04-10
Business Address
KENNETH WELLS LCSW
6348 W EMERALD ST
BOISE, ID 83704-8732
Phone number: 208-302-0900
Mailing Address
KENNETH WELLS LCSW
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-302-0900
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