NPI age
13 years
Enumerated 2012-07-17
Across 2000 active social worker providers in Idaho.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 42059 | LCSW |
| 01 (NC) | C013833 | LCSW |
| 01 (NC) | P014431 | LCSW-A |
Solo or small practice. No other active providers share this practice address in NPPES.
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