Lydia Ruth Blackwell
Lydia Ruth Blackwell is a Clinical Social Worker in Boise, Idaho. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
5999 W State StBoise, ID 83703-5059
Phone: (208) 853-1595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1568999092 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 15, 2017 |
| Last updated in NPPES | December 5, 2023 |
| Certification date | December 5, 2023 |
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