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WORD MASON

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Company Details

Name: WORD MASON
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 29 May 2013 (12 years ago)
Entity Number: 496207
Place of Formation: IDAHO
File Number: 0000496207
ZIP code: 83605
County: Canyon County
Mailing Address: 1503 TETON AVE CALDWELL, ID 83605

National Provider Identifier

NPI Number:
1013356179

Authorized Person:

Name:
MR. MICHAEL WOLFE
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000496207 2013-05-29

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State