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RANDY WILD, LCPC

LCPC

Mental Health Counselor

NPI: 1295939080Individual

Specialties, Licenses & Credentials

Counselor — Mental Health

Code: 101YM0800X

C1740(OR)

Contact & Hours

Address
3152 S BOWN WAY STE 103
BOISE, ID 83706

Quick Facts

NPI
1295939080
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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