Individual
BECKY JO BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4477 W EMERALD ST, BOISE, ID 83706-2000
(208) 321-0160
(208) 321-0221
Mailing address
603 SUNNY LN, NAMPA, ID 83651-2229
(208) 880-3934
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
43375
ID
Other
Enumeration date
06/06/2019
Last updated
03/12/2024
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