NPI age
12 years
Enumerated 2014-02-18
Across 2000 active social worker providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1649694233 | |
| 01 (ID) | 3387 | LICENSE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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