Individual
BAILEY CERIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1009 W SANETTA ST, NAMPA, ID 83651-5047
(208) 576-6464
Mailing address
1009 W SANETTA ST, NAMPA, ID 83651-5047
(208) 576-6464
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44709
ID
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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