NPI age
10 years
Enumerated 2015-05-29
Across 2000 active social worker providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1639292626 | BLUE CROSS |
| 01 (ID) | 1639292626 | REGENCE |
| 01 (ID) | 1639292626 | PACIFIC SOURCE |
| 05 (ID) | 1639292626 |
Solo or small practice. No other active providers share this practice address in NPPES.
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