Cory Blad, LMSW

NPI #1073987814 in Idaho Falls, Idaho

Provider Information

NPI Number
1073987814
Entity Type
Individual
Name
Cory Blad, LMSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LMSW
Enumeration Date
Nov 17, 2015
Last Updated
Nov 17, 2015

Practice Location

Address
2235 E 25TH ST
Address 2
SUITE 190
State
Idaho
ZIP Code
83404-7519
Phone
(208) 991-4296

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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