NPI age
9 years
Enumerated 2017-01-17
Across 2000 active social worker providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 36202 | BUREAU OF OCCUPATIONAL LICENSES |
| 01 (ID) | LCSW-38439 | DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSES |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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