| Word Mason,llc | |
|
1503 Teton Ave Caldwell ID 83605-2266 | |
| (208) 293-5673 | |
| Not Available |
| Full Name | Word Mason,llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1503 Teton Ave, Caldwell, Idaho |
| Authorized Official Name and Position | Michael Wolfe (MANAGING MEMBER) |
| Authorized Official Contact | 2082935673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Word Mason,llc 1503 Teton Ave Caldwell ID 83605-2266 Ph: (208) 293-5673 | Word Mason,llc 1503 Teton Ave Caldwell ID 83605-2266 Ph: (208) 293-5673 |
| NPI Number | 1013356179 |
|---|---|
| Provider Enumeration Date | 06/21/2013 |
| Last Update Date | 06/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013356179 | NPI | - | NPPES |
| 1134131048 | Other | PROVIDER INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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