William Blair, LCSW

NPI #1285773879 in Eagle, Idaho

Provider Information

NPI Number: 1285773879
Entity Type: Individual
Name: William Blair, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Feb 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1032 S BRIDGE WAY PL
Address 2: SUITE 100
City: Eagle
State: Idaho
ZIP Code: 83616-6099
Phone: (208) 246-0123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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