Priscilla Sharon-Georgia Bake, LMSW

NPI #1770225112 in Hailey, Idaho

Provider Information

NPI Number: 1770225112
Entity Type: Individual
Name: Priscilla Sharon-Georgia Bake, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: Apr 7, 2022
Last Updated: Dec 3, 2024

Practice Location

Address: 1450 AVIATION DR
City: Hailey
State: Idaho
ZIP Code: 83333-8785
Phone: (208) 727-8970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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