Individual
BROOKE E BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3288 E PINE AVE, MERIDIAN, ID 83642-5922
(208) 888-8886
Mailing address
1875 N 27TH ST, BOISE, ID 83702-0137
(307) 259-6252
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44467
ID
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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