NPI age
4 years
Enumerated 2021-10-18
Across 2000 active social worker providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 00010006259 | REGENCE BLUE SHIELD |
| 01 (ID) | 88567 | BLUE CROSS |
| 05 (ID) | 002269500 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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