Individual
KAREN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
150 SHOUP AVE STE 17, IDAHO FALLS, ID 83402-3653
(208) 528-5743
(208) 528-5747
Mailing address
150 SHOUP AVE STE 17, IDAHO FALLS, ID 83402-3653
(208) 528-5743
(208) 528-5747
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 26518
ID
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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