Hackworth, Kaylene Bobi
Hackworth, Kaylene Bobi is an individual health care provider with primary practice located at 947 Rocky Point Rd , Pocatello ID 83204-4811. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hackworth, Kaylene Bobi can be contacted via phone (208) 232-2239.Contact Information
Primary practice address
947 Rocky Point Rd
Pocatello ID 83204-4811
Phone: (208) 232-2239
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-719 | Idaho |
Profile Details
| NPI number | 1578599049 |
|---|---|
| LBN Legal business name | Hackworth, Kaylene Bobi |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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