JENNIFER RAE WILSON

IDAHO FALLS, ID
NPI1962111336
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LSW-42274)
Enumeration Date2022-11-15
Last Update Date2022-11-15
Business Address
JENNIFER RAE WILSON LSW
1810 W BROADWAY ST
IDAHO FALLS, ID 83402-5072
Phone number: 208-552-7011
Mailing Address
JENNIFER RAE WILSON LSW
495 W 100 N
BLACKFOOT, ID 83221-5517
Phone number: 208-852-6688
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