NPI age
12 years
Enumerated 2014-05-19
Across 1613 active social worker providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | SA60461160 | SOCIAL WORKER ASSOCIATE ADVANCED |
| 01 (ID) | LMSW-30658 | LICENSED MASTER SOCIAL WORKER |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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