NPI age
18 years
Enumerated 2007-05-30
Across 2000 active social worker providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | L5944 | BLUE CROSS |
| 01 (ID) | 000010017051 | BLUE SHIELD |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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