Organization
BLAIR K. GARNER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAIR K GARNER LCSW (PRESIDENT)
(208) 522-1904
Entity
Organization
Contact information
Practice address
2235 E 25TH ST, SUITE 185, IDAHO FALLS, ID 83404-7519
(208) 522-1904
(208) 522-8847
Mailing address
2235 E 25TH ST, SUITE 185, IDAHO FALLS, ID 83404-7519
(208) 522-1904
(208) 522-8847
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-582
ID
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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