MR. BRENT PACKER, BS
Social Worker
Active
Individual
NPI: 1255677076
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | Yes | - |
Frequently Asked Questions
NPI 1255677076 is the National Provider Identifier for MR. BRENT PACKER, BS, a Social Worker provider located in Blackfoot, ID. This NPI was enumerated on December 26, 2012.
MR. BRENT PACKER, BS practices at 1190 YORK DR, Blackfoot, ID 83221.
Quick Facts
- NPI
- 1255677076
- Type
- Individual
- Enumerated
- Dec 26, 2012
- Last Updated
- Dec 26, 2012
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