Individual
MRS. JAVONNI MARIE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
127 IDAHO ST, AMERICAN FALLS, ID 83211-1233
(208) 226-1751
(208) 226-1761
Mailing address
3141 SAGE ST, AMERICAN FALLS, ID 83211-5543
(208) 226-1751
(208) 226-1761
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-30216
ID
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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