NPI age
19 years
Enumerated 2006-09-21
Across 2000 active social worker providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (KS) | 2510 | KANSAS LINCENSE |
| 05 (KS) | 100098100A | |
| 01 (MD) | 10819 | LICENSE THROUGH 10/31.06 |
Solo or small practice. No other active providers share this practice address in NPPES.
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