NPI age
9 years
Enumerated 2017-05-19
Across 2000 active social worker providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | LCSW-31214 | STATE LICENSE |
| 01 (OR) | 6409 | STATE LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES.
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