NPI age
19 years
Enumerated 2006-09-06
Across 2000 active social worker providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | L5089 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010141602 | REGENCE BLUE SHIELD |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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