PRISCILLA SHARON-GEORGIA BAKE LMSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1770225112- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMSW
- Status
- Active
Contact & Location
- Address
- 1450 AVIATION DR, HAILEY, ID, 833338785
- Phone
- (208) 727-8970
- Fax
- (208) 727-8979
Specialties & Taxonomies
Counselor, Mental Health
License: ID #LMSW-42222
Social Worker
License: ID #LSW-40865
Social Worker
License: ID #LMSW-42222
Social Worker, Clinical
Primary License: ID #8861956
All Addresses
MAILING
190 E BANNOCK ST
BOISE, ID, 837126241