NPI age
9 years
Enumerated 2016-10-31
Across 2000 active social worker providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 14500036 | CAQH |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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