Bruce W Blanchard, MSW Valid NPI
Individual provider · Clinical Social Worker · Rexburg, ID
- NPI
- 1588969646
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- LCSW-874 (ID)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2011-01-21
- Last updated
- 2011-01-21
Practice location
27 K St
Rexburg, ID 83440-1441
(208) 356-4845