1558657098

Everything you always wanted to know about MS. BROWN J KELLIE LMSW but were afraid to ask.

MS. BROWN J KELLIE LMSW

You can also download the this 1558657098 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
MS. BROWN J KELLIE LMSW
Gender:
Female
Enumeration date:
2011-06-23
Last update date:
2011-06-23
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
101Y00000X Counselor ID LMSW-30644 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2085294673
Practice Location Address Telephone Number 2085294673
Mailing Address Fax Number 2085294676
Practice Location Address Fax Number 2085294676

Addresses

Type Address City State Postal Country
Mailing Address 2001 S WOODRUFF AVE STE 6 IDAHO FALLS ID 83404 ID
Practice Location Address 2001 S. WOODRUFF STE. 6 IDAHO FALLS ID 0 ID

Other NPI Records that share a phone number

NPI Name Address State City
1083853477 SHARRAH, MELISSA
Individual
2001 S WOODRUFF AVE STE 6 ID IDAHO FALLS
1184856221 MICHELE OSMOND
Organization
2001 S WOODRUFF AVE STE 6 ID IDAHO FALLS
1215097480 CLUB, INC.
Organization
2001 S WOODRUFF AVE ID IDAHO FALLS
1700061959 GUYER, ALICE
Individual
2001 S WOODRUFF AVE STE 6 ID IDAHO FALLS
1871915694 CLUB INC
Organization
2001 S WOODRUFF ID IDAHO FALLS
1881879039 ELLIS, ALISA
Individual
2001 S WOODRUFF AVE ID IDAHO FALLS
1982937736 SUZANNE GODFREY
Organization
2001 S WOODRUFF AVE STE 6 ID IDAHO FALLS

Other NPI Records that share an address

NPI Name Address State City
1083853477 SHARRAH, MELISSA
Individual
2001 S WOODRUFF AVE STE 6 ID IDAHO FALLS
1184856221 MICHELE OSMOND
Organization
2001 S WOODRUFF AVE STE 6 ID IDAHO FALLS
1700061959 GUYER, ALICE
Individual
2001 S WOODRUFF AVE STE 6 ID IDAHO FALLS
1982937736 SUZANNE GODFREY
Organization
2001 S WOODRUFF AVE STE 6 ID IDAHO FALLS