Ben Lazarus Fox, LMSW

NPI #1326670845 in Blackfoot, Idaho

Provider Information

NPI Number
1326670845
Entity Type
Individual
Name
Ben Lazarus Fox, LMSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LMSW
Enumeration Date
Feb 12, 2020
Last Updated
Feb 12, 2020

Practice Location

Address
1309 CAMAS ST
State
Idaho
ZIP Code
83221-3060
Phone
(208) 782-0675

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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