Individual
MRS. BAILEY JENNETTE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1105 W IRONWOOD DR LOWR LEVEL, COEUR D ALENE, ID 83814
(208) 676-1075
Mailing address
PO BOX 207, POST FALLS, ID 83877-0207
(208) 676-1075
(208) 676-1245
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-35649
ID
Other
Enumeration date
07/16/2013
Last updated
12/03/2019
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