Karen O Ili

NPI 1700069937 - Social Worker - 1041C0700X

NPI Details
NPI 1700069937
Gender Female
Enumeration Date 12/11/2007
Last Updated 12/11/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
631 N 200 E
REXBURG ID, 83440-3599, US
Phone (208) 356-6975
Fax
Business Location
245 E 1ST S
SAINT ANTHONY ID, 83445-2120, US
Phone (208) 351-4869
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Idaho
License Number LCSW-25913
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According to our database, Karen O Ili NPI is 1700069937, taxonomy code is 1041C0700X and license number is LCSW-25913, license state is located at Idaho. Karen O Ili physically located at 631 N 200 E, Rexburg ID, 83440-3599. NPI Number Karen O Ili has the Individual type.

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1700069937 NPI number is provided on an as is basis without warranty of any kind. 1700069937 is maintained by the National Plan & Provider Enumeration System. The contents of Karen O Ili are for informational purposes only.