Jackie L Newsom, LSW

NPI #1124464318 in Pocatello, Idaho

Provider Information

NPI Number: 1124464318
Entity Type: Individual
Name: Jackie L Newsom, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: May 15, 2013
Last Updated: May 15, 2013

Practice Location

Address: 353 N 4TH AVE
Address 2: STE 110
City: Pocatello
State: Idaho
ZIP Code: 83201-6390
Phone: (208) 233-7832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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