NPI age
20 years
Enumerated 2005-08-23
Across 2000 active social worker providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 800012721 | |
| 01 (ID) | HPS21 | BLUE CROSS |
Solo or small practice. No other active providers share this practice address in NPPES.
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