NPI age
12 years
Enumerated 2013-08-23
Across 2000 active social worker providers in Idaho.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1629402888 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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