NPI age
19 years
Enumerated 2006-10-21
Across 2000 active social worker providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807382800 | |
| 05 (ID) | 806552901 | |
| 01 (ID) | 830415084 83651 A001 | TRICARE PROVIDER NUMBER |
Solo or small practice. No other active providers share this practice address in NPPES.
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