Tamara Cronk-Wilson, LCSW

NPI #1235449588 in Lewiston, Idaho

Provider Information

NPI Number: 1235449588
Entity Type: Individual
Name: Tamara Cronk-Wilson, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 19, 2010
Last Updated: Oct 19, 2010

Practice Location

Address: 415 6TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501-2431
Phone: (208) 743-2511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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