KAYLEE ETHRIDGE, LMSW

Social Worker

Active Individual
NPI: 1043021207

Practice Address

101 S MAIN ST
Pocatello, ID 83204

Phone: (208) 232-8840

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes 5271240 (ID)

Frequently Asked Questions

NPI 1043021207 is the National Provider Identifier for KAYLEE ETHRIDGE, LMSW, a Social Worker provider located in Pocatello, ID. This NPI was enumerated on January 16, 2025.
KAYLEE ETHRIDGE, LMSW practices at 101 S MAIN ST, Pocatello, ID 83204.

Quick Facts

NPI
1043021207
Type
Individual
Enumerated
Jan 16, 2025
Last Updated
Jul 18, 2025

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