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
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7519
- Phone
- (208) 991-4296
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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