Provider Demographics
NPI:1629584743
Name:ARON, EMMALEE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:EMMALEE
Middle Name:
Last Name:ARON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:EMMALEE
Other - Middle Name:
Other - Last Name:WILKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1525 S DAVID LN
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83705-5230
Mailing Address - Country:US
Mailing Address - Phone:208-985-6574
Mailing Address - Fax:
Practice Address - Street 1:1525 S DAVID LN
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705-5230
Practice Address - Country:US
Practice Address - Phone:208-985-6574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-27
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW-32423104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty