Individual
BAYLEE MICHELE CRITCHLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(082) 706-5166
(208) 706-1442
Mailing address
702 SUNSET DR, ONTARIO, OR 97914-3121
(541) 889-9167
(541) 889-7873
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-39468
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-43560
ID
Other
Enumeration date
09/29/2020
Last updated
07/12/2023
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