Individual
MRS. BECKY L BLOXHAM I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
601 POLE LINE RD, TWIN FALLS, ID 83301-3035
(208) 814-7609
(208) 814-7615
Mailing address
601 POLE LINE RD, TWIN FALLS, ID 83301-3035
(208) 814-7609
(208) 814-7615
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1068
ID
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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