JACKIE NEWSOM, LSW

Social Worker

Active Individual
NPI: 1124464318

Practice Address

353 N 4TH AVE
STE 110
Pocatello, ID 83201

Phone: (208) 233-7832

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes LSW-32514 (ID)

Frequently Asked Questions

NPI 1124464318 is the National Provider Identifier for JACKIE NEWSOM, LSW, a Social Worker provider located in Pocatello, ID. This NPI was enumerated on May 15, 2013.
JACKIE NEWSOM, LSW practices at 353 N 4TH AVE, STE 110, Pocatello, ID 83201.

Quick Facts

NPI
1124464318
Type
Individual
Enumerated
May 15, 2013
Last Updated
May 15, 2013

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