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1952640831
WANDA L WILSON
BOISE, ID
NPI
1952640831
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Former Name
WANDA L WILSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW-31942)
Enumeration Date
2013-02-12
Last Update Date
2024-11-12
Business Address
WANDA L WILSON LCSW
6615 S ACACIA ST
BOISE, ID 83709-6683
Phone number: 208-918-4894
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Mailing Address
WANDA L WILSON LCSW
6615 S ACACIA ST
BOISE, ID 83709-6683
Phone number: 208-918-4894
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