Kaylee Marie Ethridge, LMSW

NPI #1043021207 in Pocatello, Idaho

Provider Information

NPI Number: 1043021207
Entity Type: Individual
Name: Kaylee Marie Ethridge, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jan 16, 2025
Last Updated: Jul 18, 2025

Practice Location

Address: 101 S MAIN ST
City: Pocatello
State: Idaho
ZIP Code: 83204-3210
Phone: (208) 232-8840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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