NPI age
19 years
Enumerated 2007-03-29
Across 1613 active social worker providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | LPC-3380 | LICENSED PROFESSIONAL COU |
| 01 (ID) | LSW-610 | LICENSED SOCIAL WORKER |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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