Individual
KELSEY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1514 G ST, LEWISTON, ID 83501-2017
(208) 816-6078
Mailing address
419 22ND AVE, LEWISTON, ID 83501-3812
(208) 746-3388
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-43567
ID
Other
Enumeration date
06/04/2024
Last updated
10/15/2025
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