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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

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