Real World Mental Wellness Center, P.c. | |
9458 W Fairview Ave Ste J Boise ID 83704-9785 | |
(208) 713-8070 | |
(208) 362-2010 |
Full Name | Real World Mental Wellness Center, P.c. |
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Speciality | Social Worker - Clinical |
Location | 9458 W Fairview Ave Ste J, Boise, Idaho |
Authorized Official Name and Position | Marilyn Sears (PRESIDENT) |
Authorized Official Contact | 2087138070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Real World Mental Wellness Center, P.c. 9458 W Fairview Ave Ste J Boise ID 83704-9785 Ph: (208) 713-8070 | Real World Mental Wellness Center, P.c. 9458 W Fairview Ave Ste J Boise ID 83704-9785 Ph: (208) 713-8070 |
NPI Number | 1427176874 |
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Provider Enumeration Date | 03/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427176874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 1080 (Idaho) | Primary |
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