NPI age
17 years
Enumerated 2008-10-08
Across 2000 active social worker providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (OR) | 090450 | |
| 05 (OR) | 165772 |
Part of a multi-provider practice. 44 other active providers share this practice address in NPPES.
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