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Individual

MR. EDWARD AARON PLIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-25238
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-30619
ID

Other

Enumeration date
02/12/2009
Last updated
09/28/2023
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