Individual
CARLY C BAILEY NEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2335 E STATE AVE, MERIDIAN, ID 83642-8808
(208) 672-1801
Mailing address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 605-7070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
LSW-28504
ID
Other
Enumeration date
12/14/2020
Last updated
05/02/2023
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