Brion L Boldt, BA
NPI #1043586308 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1043586308
- Entity Type
- Individual
- Name
- Brion L Boldt, BA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- BA
- Enumeration Date
- Mar 30, 2012
- Last Updated
- Mar 30, 2012
Practice Location
- Address
- 1740 E 17TH ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6375
- Phone
- (208) 346-8866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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