NPI age
10 years
Enumerated 2015-08-31
Across 2000 active social worker providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MT) | 1427003862 | |
| 05 (OR) | 500673381 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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