NPI age
16 years
Enumerated 2010-04-09
Across 2000 active social worker providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (CA) | LCS 10041 | STATE LICENSE |
| 01 (ID) | LCSW-29777 | STATE LICENSE |
Single-site organization. Only one practice location on file.
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