MRS. Jamie Tisa Coffey-Kelly, LCSW

NPI #1992135818 in Cascade, Idaho

Provider Information

NPI Number: 1992135818
Entity Type: Individual
Name: MRS. Jamie Tisa Coffey-Kelly, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Nov 13, 2013
Last Updated: Feb 22, 2021

Practice Location

Address: 402 LAKE CASCADE PKWY
City: Cascade
State: Idaho
ZIP Code: 83611-7702
Phone: (208) 382-4285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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