BEN LAZARUS FOX LMSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1326670845- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMSW
- Status
- Active
Contact & Location
- Address
- 1309 CAMAS ST, BLACKFOOT, ID, 832213060
- Phone
- (208) 782-0675
Specialties & Taxonomies
Social Worker, Clinical
Primary
All Addresses
MAILING
1309 CAMAS ST
BLACKFOOT, ID, 832213060