NPI age
9 years
Enumerated 2017-02-08
Across 2000 active social worker providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 38369 | STATE LICENSE |
| 05 (WA) | 2081234 |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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