William Blair, LCSW Valid NPI
Individual provider · Clinical Social Worker · Eagle, ID
- NPI
- 1285773879
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- LCSW10 (ID)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-02-06
- Last updated
- 2007-07-08
Practice location
1032 S Bridge Way Pl, Suite 100
Eagle, ID 83616-6099
(208) 246-0123