Search › Idaho › Clinical Social Worker
Charles Bryan
NPI 1689315111 · on the registry since 2022
Practice
- Address
- 373 W Highway 39 Ste 1
Blackfoot, ID 83221 - Phone
- (208) 557-9450
- Fax
- (208) 561-7111
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho