Karen O Ili Valid NPI
Individual provider · Clinical Social Worker · Rexburg, ID
- NPI
- 1700069937
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- LCSW-25913 (ID)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-12-11
- Last updated
- 2007-12-11
Practice location
631 N 200 E
Rexburg, ID 83440-3599
(208) 356-6975