NPI age
19 years
Enumerated 2007-04-06
Across 2000 active social worker providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806530400 | |
| 05 (ID) | 806867300 | |
| 01 (ID) | 000010146334 | BLUE SHIELD |
| 01 (ID) | L3688 | BLUE CROSS |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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