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Individual

JAMIE M KELLEY-KINYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
775 POLE LINE RD, SUITE 302, TWIN FALLS, ID 83301
(208) 814-8740
(208) 814-8955
Mailing address
PO BOX 587, TWIN FALLS, ID 83303-0587
(208) 814-8740
(208) 814-8955

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW 497
ID
1041C0700X
Clinical Social Worker
Primary
ID

Other

Enumeration date
04/03/2015
Last updated
10/02/2015
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